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

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NEURO-PHYSIOLOGY. 55<br />

responds to volitional or electrical irritations ;<br />

<strong>and</strong> all tlie<br />

sensitive parts to which it is distributed become devoid <strong>of</strong><br />

feeling. As the nerve thaws again, all <strong>of</strong> its functions<br />

gradually return. Altered vascular conditions also occur.<br />

At first the cold contracts the vessels, <strong>and</strong> almost instantly,<br />

as the part thaws, they dilate, <strong>and</strong> the part becomes the<br />

seat <strong>of</strong> a more or less intense congestion,<br />

— a circumstance<br />

<strong>of</strong> which I have made use in studying the congestions ot<br />

<strong>nerves</strong> <strong>and</strong> ganglionic centres.<br />

The best clinical study <strong>of</strong> the influence <strong>of</strong> cold on<br />

<strong>nerves</strong> was made by Dr. A. "Waller,* in 1862. I shall<br />

have occasion to refer to it again.<br />

* Proc. Royal Soc. London, vol. ii. 1860-62, p. 89 et seq.

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