File:Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14596035169).jpg

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Identifier: diseasesofnervo00jell (find matches)
Title: Diseases of the nervous system : a text-book of neurology and psychiatry
Year: 1915 (1910s)
Authors: Jelliffe, Smith Ely, 1866-1945 White, William A. (William Alanson), 1870-1937
Subjects: Mental Disorders Nervous System Diseases
Publisher: Philadelphia : Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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nd isolated lesions of the corporaquadrigemina. In apes, Karplus and Kreidl have shown that aseverance of commissural association fibers passing in the arm of theanterior corpora quadrigemina to the anterolateral border of theanterior corpus will cause a bilateral reflex pupillary rigidity withretention of pupillary activity for accommodation, convergence andpsychical stimuli. Chronic meningeal exudates in syphilis pressing 86 VEGETATIVE OR VISCERAL NEUROLOGY upon these fibers may account for the frequency of this symptom intabes and paresis. Explanations are numerous, however, and may beconsulted in the literature. (Willbrand and Saenger, Die Neurologiedes Auges.) 3. Sympathetic paralysis, or Horners syndrome, is characterizedby retraction of the bulb, narrowing of the palpebral fissure, droppingof the upper and raising of the lower lid and myosis, with conservationof the psychical and light reflexes of the pupil. To non-striated part of ^Lev. Palp. Sup. Medulla Cilio-sjjinal Centre-
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Upper Lid Dilator PupillceLong Ciliary Nerves Gasserian Ganglion ^Muscle of SlilUer(non-striated)To Hypoglossal NerveSweat FibresVaso-motor i&dilator Fibres Middle Cervical Ganglion Inferior Cervical Ganglion Fig. 28.- -Diagram of course of oculo-pupillary fibers of cervical sympathetic.(Stewart.) Topographically the picture results from pressure on the sympatheticfibers (goitre), a lesion of the cervicodorsal cord (hematomyelia),gliosis (syringomyelia), myelitis, especially of the upper dorsal region(Dejerine, Klumpke—Budges centers), thrombosis of the posteriorinferior cerebellar artery, cervicodorsal radiculitis, and in certainhysterical conversions, compulsive tics, and psychotic projections. Tests with cocain and adrenalin are of value in determining thesympathicotropic activity, a 2 per cent, cocain solution stimulating the TEAR, MUCOUS AND SALIVARY GLANDS 87 dilator fibers. A failure to cause mydriasis is evidence of weaknessof the s^nipathetic. Where such a paresis-produ

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