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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1879 Excerpt: ...The ganglion cervicale supremum was only in the first stage of the process, there being considerable hyperplasia of the cortical and interstitial connective tissue, but no atrophy of the nerve elements, the fibres, as well as the ganglionic cells, appearing intact. In the rami communicantes was found atrophy of a nature corresponding to the condition of the anterior routs; the median nerve contained, amongst many healthy fibres, also some that were pathologically changed (simple atrophy, absence of the medullary sheath, and even of the axis cylinder). Jaccoud regards it as unquestionable, from the stages of the different processes, that the disease began in the cervical part of the sympathetic, and spread thence both centripetally (by the rami communic antes and the anterior roots) and centrifugally (as is indicated by the partial affection of the median nerve). Changes in the sympathetic are also mentioned by Swarzenski (atrophy of the trunk and of both upper ganglia), and by Dumenil (fibro-fatty degeneration of the cervical and thoracic parts, considerable hyperplasia of the connective tissue, atrophy of the nerve-fibres, and regressive metamorphosis of the ganglionic cells). In the greater number of recorded cases no accurate examination of the sympathetic system was made; its integrity, however, is specially affirmed by many good observers--Fieber and M. Meyer, of these motor phenomena to the sympathetic ganglia, appears to us, both on physiological and empirical grounds, to be in no way warranted. In none of the cases in which diplegic movements were observed by us (in progressive muscular atrophy, saturnine paralysis, and hysterical atrophy), did we find that thev occurred specially or exclusively in the way stated by Remak, aud we thus do not conside...

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