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Injuries of nerves and their consequences - Reflex Sympathetic ...

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NEURAL MALADIES OF STUMPS. 359<br />

<strong>and</strong> necessitated by, the originative act <strong>of</strong> will, or else are<br />

messages sent to the sensorium from the spinal ganglia<br />

which every act <strong>of</strong> motor volition excites.<br />

The influence <strong>of</strong> electrical currents on the <strong>nerves</strong> <strong>of</strong><br />

the stump introduces into our calculations<br />

<strong>and</strong> puzzling considerations.<br />

certain novel<br />

If we faradise the track <strong>of</strong> the <strong>nerves</strong> in or above the<br />

stump, we may cause the lost fingers <strong>and</strong> thumb to seem<br />

to be flexed or extended, <strong>and</strong>, what is most remarkable,<br />

parts <strong>of</strong> which the man is conscious, but which he has not<br />

tried to stir for years, may thus be made to appear to<br />

move to his utter amazement. In one case I thus acted<br />

on the <strong>nerves</strong>, so as to cause a thumb which for years<br />

was constantly <strong>and</strong> violently bent in on the palm to<br />

straighten out completely. On breaking the circuit,<br />

without warning, the patient exclaimed that his thumb<br />

was cutting the palm again, <strong>and</strong> the same result was obtained<br />

by shifting the conductors so as to put the <strong>nerves</strong><br />

out <strong>of</strong> the circuit.<br />

In a case <strong>of</strong> amputation at the shoulder-joint, in which<br />

all consciousness <strong>of</strong> the limb had long since vanished, I<br />

suddenly faradised the brachial plexus, when the patient<br />

said at once, " My h<strong>and</strong> is there again. It is bent all<br />

up<br />

<strong>and</strong> hurts me." These impressions are correctly referred<br />

by the patient, so that faradisation <strong>of</strong> the musculo-spiral<br />

the related<br />

or the ulnar gives sensation <strong>of</strong> movement in<br />

parts. It is <strong>of</strong> course impossible that the motor <strong>nerves</strong><br />

stimulated should convey any impression centrally, <strong>and</strong><br />

we must therefore conclude that irritation <strong>of</strong> sensory<br />

trunks may occasion impressions <strong>of</strong> muscular motion in<br />

the sensorium.<br />

It would appear, then, that when we will a movement,<br />

there arises coincidently, or from the spinal ganglia<br />

through which it is carried out, impressions as to the<br />

force <strong>of</strong> the act <strong>and</strong> the position <strong>of</strong> the parts which we

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