Compendium of regional diagnosis in affectations of the brain and spinal cord / Translated by F.S. Arnold.

  • Bing, Robert.
Date:
1913
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Licence: In copyright

Credit: Compendium of regional diagnosis in affectations of the brain and spinal cord / Translated by F.S. Arnold. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    BING'S COMPENDIUM, DIVISION 1. Regional Diagnosis of Lesions of the Spinal Cord. In attempting to localize a focus of disease or lesion of any kind in the spinal cord, two points of capital importance have to be kept in view, owing to the cylindrical or cord- like form of the organ. In the first place, we must determine whether the lesion is central or peripheral, anterior or posterior, right or left, and over how large an area it has interrupted the spinal nerve channels and destroyed the spinal centres. In the second place, we wish to know at what level, at what point of its extent, the cord is affected by injury or disease. We may speak, therefore, of a transverse or systemic, and a longitudinal or seg- mental, diagnosis of spinal affections, and will proceed now to the consideration of their foundation principles. A. Transverse or Systemic Diagnosis. It is necessary to begin with an outline of the anatomical conditions, which, however, may be very simple and brief, seeing that our point of view is to be purely clinical and utilitarian. A knowledge of the anatomy of tho spinal cord, and especially of the anatomical nomenclature of its parts, is, of course, assumed. The broad division into white and grey matter corresponds to a finer division into conducting nerve channels and nerve-cell network. We must realize, therefore, in tho