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

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80 INJURIES OF NERVES. small animals, as the rabbit, from two to four lines of lost nerve may thus be made up, and in man there are certainly instances of at least three inches having been restored. While many of the peripheral fibres are still undergoing destructive changes, and before the nerve ends are reunited, the process of repair begins in the lower end of the cut nerve, so that, in young animals, degeneration and regeneration are going on in separate fibrils side by side. Among the wasted tubules appear others, in which the medullary matter is replaced, and in this manner gradually the atrophied nerve tubes undergo a process of reparation until the nerve is recomposed, the newer elements being smaller for a time than the original fibres. The change thus effected appears to go on alike at one and the same time in the whole length of altered nerve. Waller was of the opinion that the fibres thus formed were throughout new formations, but this view has been refuted by both Schiff and Vulpian, and there is now but little doubt that they are merely restorations of the original tissue. Until the reuniting tissue contains a considerable number of healthy filaments, and until the lower nerve end has undergone a large amount of restoration, the functions of the nerve remain in abeyance, and the question as to the time needed for repair, and of the extent of this process, are therefore of the utmost importance in connection with the prognosis and treatment of nerve injuries. — Autof/enetic restoration of nerves. Yulpian and Phillipeaux have shown that even when the divided nerve ends do not reunite, the peripheral extremity undergoes after a considerable time a more or less complete process of repair, precisely such as occurs when reunion has taken place. This reparation may occur even when a portion
PATHOLOGY OF NERVE LESIONS. 81 of nerve has been transplauted and grafted upon foreign tissues; but although physiologically interesting, these observations have no practical bearing upon the subject of nerve wounds, except to show that the severed nerve does not so alter as to forbid in the future any operation looking to its reconnection by suture, or otherwise, with the parent stem.
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6/6.. 67 Af^e3 ^tbrarg of the 2lor0
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IMh u Entered, according to Act of
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to Dr. Tyson. S. WEIR MITCHELL. PEE
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Vin CONTENTS. Diagnosis and Prognos
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10 INJURIES OF NERVES. This hospita
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12 INJURIES OF NERVES. organs invol
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14 INJURIES OF NERVES. ganglion and
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16 INJURIES OF NERVES. geneous, yet
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18 INJURIES OF NERVES. muscle would
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20 INJURIES OF NERVES. are generall
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1 22 INJURIES OF NERVES. the termin
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24 INJURIES OF NERVES. highest leve
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26 INJURIES OF NERVES. nerve contai
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28 INJURIES OF NERVES. reptiles and
Page 34 and 35: CHAPTER III. NEURO-PHYSIOLOGY. Vari
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Page 60 and 61: CHAPTER IV. PHYSIOLOGICAL PATHOLOGY
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Page 86 and 87: CHAPTER V. VARIETIES OF MECHANICAL
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Page 96 and 97: 92 INJURIES OF NERVES. M. Berard ha
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Page 106 and 107: 102 INJURIES OF NERVES. Case 10.—
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Page 110 and 111: ' 106 INJURIES OF NERVES. A number
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Page 116 and 117: 112 INJURIES OF NERVES. A tube of g
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Page 120 and 121: 116 INJURIES OF NERVES. istence, in
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Page 124 and 125: 120 INJURIES OF NERVES. the lumbar
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Page 128 and 129: J24 INJURIES OF NERVES. the sacral
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130 INJURIES OF NERVES. and those o
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132 INJURIES OF XERVES. An ac- wate
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134 INJURIES OF NERVES. good flexio
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• 136 INJURIES OF NERVES. and dow
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138 INJURIES OF NERVES. The followi
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140 INJURIES OF NERVES. but there s
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142 INJURIES OF NERVES. sensory gan
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144 INJURIES OF NERVES. see, many o
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146 INJURIES OF NERVES. ralysis of
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148 INJURIES OF NERVES. nerves divi
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150 INJURIES OF NERVES. disappears,
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152 INJURIES OF NERVES. may alight
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154 INJURIES OF NERVES. ing certain
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156 INJURIES OF NERVES. reported in
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158 INJURIES OF NERVES. tightly dra
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160 INJURIES OF NERVES. Case 27.—
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162 INJURIES OF NERVES. stage to be
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164 INJURIES OF NERVES. and unable
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IGG INJURIES OF XERVES. At the same
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168 INJURIES OF NERVES. was dry, sc
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170 INJURIES OF NERVES. We may then
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172 INJURIES OF NERVES. supported b
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174 INJURIES OF NERVES. method of s
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176 INJURIES OF NERVES. in the limb
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178 INJURIES OF NERVES. those which
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180 INJURIES OF NERVES. be found el
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182 INJURIES OF NERVES. loss of tac
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184 INJURIES OF XERVES. there are t
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186 . INJURIES OF NERVES. US, when
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188 INJURIES OF NERVES. the muscle
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190 INJURIES OF NERVES. have no ele
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192 INJURIES OF NERVES. Loss of the
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194 INJURIES OF NERVES. of the pain
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196 INJURIES OF NERVES. injuries of
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198 INJURIES OF NERVES. bad cases k
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200 INJURIES OF NERVES. sergeant 26
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202 INJURIES OF NERVES. the body, s
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204 INJURIES OF NERVES. f most cons
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206 INJURIES OF NERVES. scribed, bu
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208 INJURIES OF NERVES. the tenth d
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210 INJURIES OF NERVES. contraction
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212 INJURIES OF NERVES. great pecto
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214 INJURIES OF NERVES. cannot be s
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216 INJURIES OF NERVES. elbow must
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218 INJURIES OF NERVES. vein, or th
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220 INJURIES OF NERVES. Taste was r
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222 INJURIES OF NERVES. motor loss,
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224 INJURIES OF NERVES. themselves
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226 INJURIES OF NERVES. of sensory
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228 INJURIES OF NERVES. The contrac
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280 INJURIES OF NERVES. warning in
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232 INJURIES OF NERVES. Two weeks l
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234 INJURIES OF NERVES. It was empl
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236 INJURIES OF NERVES. was slight
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238 INJURIES or nerves, iug a ribbo
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240 INJURIES OF NERVES. mortem exam
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242 INJURIES OF NERVES. cases left
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CHAPTER XL TREATMENT— CONTINUED.
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246 INJURIES OF NERVES. and the con
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248 INJURIES OF NERVES. current, on
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250 INJURIES OF NERVES. At the Unit
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252 INJURIES OF NERVES. healthy ton
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254 INJURIES OF NERVES. gained, exc
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256 INJURIES OF NERVES. look precis
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258 INJURIES OF NERVES. We used inj
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260 INJURIES OF NERVES. called npon
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• and 262 INJURIES OF NERVES. and
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i 264 INJURIES OF NERVES. and local
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266 INJURIES OF NERVES. Counter-irr
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268 INJURIES OF NERVES. were someti
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270 INJURIES OF NERVES. evidence of
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272 INJURIES OF NERVES. and at last
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274 INJURIES OF NERVES. May 3, 1863
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276 INJURIES OF NERVES. — July 15
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278 INJURIES OF NERVES. Electric te
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280 INJURIES OF NERVES. Large numbe
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CHAPTER XII. TREATMEN T— C ONTINU
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284 INJURIES or nerves. but unless
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286 INJURIES OF NERVES. an inch of
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j ' 2S8 INJURIES OF NERVES. OPERATI
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j 290 INJURIES OF ^"EllVES. OPERATI
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292 INJURIES OF NERVES. I add, as e
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294 INJURIES OF NERVES. shining. Th
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296 INJURIES OF NERVES. section of
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298 INJURIES OF NERVES. fifth or on
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300 INJURIES OF NERVES. a hot stove
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302 INJUKIES OF NERVES. or from our
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304 INJURIES OF NERVES. tracted, au
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306 INJURIES OF NERVES. Motion.—
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"308 INJURIES OP NERVES. by callus.
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SIO INJURIES OF NERVES. exchanged.
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312 INJURIES OF NERVES. with a hand
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314 INJURIES OF NERVES. flexors and
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316 INJURIES OF NERVES. February 19
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CHAPTER XIII. LESIONS OF SPECIAL XE
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320 INJURIES OF NERVES. he was hurt
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322 INJURIES OF NERVES. also more p
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324 INJURIES OF NERVES. a man who h
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apidly-developed tuberculosis. > A
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328 INJURIES OF NERVES. rior wound
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330 INJURIES OF NERVES. downward. H
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332 INJURIES OF NERVES. for the bal
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334 INJURIES OF NERVES. to the time
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336 INJURIES OF NERVES. the patient
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338 INJURIES OF NERVES. their exten
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340 INJURIES OF NERVES. assisted. M
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CHAPTER XIV. NEURAL MALADIES OF STU
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344 INJURIES OF NERVES. removed, th
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346 INJURIES OF NERVES. they are un
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348 INJUKIES OF NERVES. side. In an
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350 INJURIES OF NERVES. most absurd
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352 INJURIES OF NERVES. learns by d
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354 INJURIES OF NERVES. ally some d
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356 INJURIES OF NERVES. crushed by
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358 INJURIES OF NERVES. lu some of
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360 INJUKIES OF NERVES. will to mov
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362 INJURIES OF NERVES. « put off
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364 INJURIES OF NERVES. biceps bega
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366 INJURIES OF NERVES. that the ar
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368 INJURIES OF NERVES. I think tha
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370 INDEX. Burning pain, seat of, 1
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^ 372 INDEX. Gross, S. D., incontin
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374 INDEX. Neuritis, constitutional
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376 INDEX. Sense of locality, 185.
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ts to
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