The diagnosis of traumatic lesions in the cerebro-spinal axis : and the detection of malingering referred to this centre / by B.A. Watson.

  • Watson, B. A. (Beriah André), 1836-1892.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis of traumatic lesions in the cerebro-spinal axis : and the detection of malingering referred to this centre / by B.A. Watson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Heart: Valves and substance normal, ventricles empty. Liver: Blood from cut surface of dark- crimson hue. Gall Bladder : Distended with bile. Spleen: Normal. Kidneys: Both markedly con- gested. Brain : Capillary hcemorrhages were noted in the floor of the fourth ventricle, also in the third ventricle, and in the anterior portion of the lateral ventricle. The perivascular spaces seemed to be distended with serum and blood.” Dr. Spitzka’s report of the preliminary micro- scopical examination is as follows: “The brain, spinal cord, and peripheral nerves appeared strictly healthy in every part examined, except in the area corresponding to the discolored (anaemic through the contraction of the vascular channels) area of the Rolandic and pre-Rolandic regions, the ventricular surface, the pons and the medulla ob- longata. The latter, which had been the seat of post-mortem preservation of temperature approach- ing that of the normal human body, were distinctly softer than the observer has ever been accustomed to find these parts in autopsies on persons of Kemmler’s age, so soon after death. The hsemor- rhagic spots in the fourth ventricle, which were strongly marked, were not accompanied by signs of parenchymatous rupture of large bloodves- sels. Hence they may be regarded as having the same significance as the ‘taches de Tardieu ’ found on the surfaces of the organs, notably the heart and lungs. The peculiar softened vesicular zone of tissue underlying the outermost layer of the cerebral cortex is noteworthy as ‘ the destruction line,’ and runs parallel to the free surface of the brain without