The diseases of the spinal cord / by Byrom Bramwell.

  • Bramwell Byrom, Sir, 1847-1931.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: The diseases of the spinal cord / by Byrom Bramwell. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Dr Byrom Bramwell will be obliged to any of his readers who will send him spinal cords of typical, interesting, or rare cases. The preparation (suspended in Muller's fluid 3 parts, and methylated spirit 1 part, in the manner described below), should be despatched as soon as possible after removal. Directions for the Removal and Preservation of the Spinal Cord. The body having been laid on its face, and a large block inserted under the thorax, an incision is to be made, in the middle line behind, from the occiput to the sacrum. The skin and muscles are then to be reflected from each side of the vertebra. The laminse of the two or three dorsal vertebra, corresponding to the point oi greatest convexity of the spinal column, are next sawn across • with a little manipulation (the spinous processes being grasped in the'left hand), and by the help of a scalpel, the vertebral arches, which have been sawn across, can now be removed, and the posterior surface of the dura mater exposed; or the spines and lamina of one or more vertebra may be cut across by means of bone pliers. The laminse of the remaining vertebrae, both above and below those which have been removed, are then to be cut across with a powerful pair of bone pliers, and the entire length of the spinal canal exposed The La mater is to be Uft undivided. The nerve roots are then divided by means of a probe-pointed bistuory passed from above downwards on each side between the dura and the bony wall of the vertebral canal. The cauda equina is then to be cut across, the dura laid hold of by forceps, and the cord, gently raised out of the spinal canal. The cellar tissue, and any of the nerve roots which have not been com- ^telT divided, are tin to be cut through, and the whole cord removed in its dura mater sheath. The dnr. i. now slit np by means of probe.po.nWl se,s,ors Ch „e.teBt eare being taken to a.oid any .njory to the cord), and the nteToSo~r«ded, by mean, of transverseincis^ place.