File:Nervous and mental diseases (1919) (14758587686).jpg

Identifier: nervousmentaldis00chu (find matches)
Title: Nervous and mental diseases
Year: 1919 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system Mental illness
Publisher: Philadelphia, London, W.B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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lood-current of this duralchannel. Here the circulatory conditions are rendered still moreunfavorable by hydrostatic pressure, by tlie presence of trabecuke in thesinuses which impede the flow of blood, and by venous retardationduring inspiration. The cerebellar veins empty mainly into the lateralsinuses. Into the dural sinuses also empty many veins from the faceand scalp. The facial vein communicates with the cavernous sinusthrough the ophthalmic vein. The veins of the nasal vault open intothe anterior extremity of the superior longitudinal sinus. Numerousveins of the scalp along the median line have a similar outlet. Veinsfrom the mastoid process and its cutaneous surface enter the lateral and 232, DISEASES OF THE BRAIN PROPER. petrosal sinuses, and the occipital and posterior auricular veins are con-nected with the lateral sinus. In addition, many veins of the cranialdiploe discliarge into the sinuses. Finally, the sinuses connect with theveins of the spinal canal. Ant. facial vein
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•Ext, jugul.vein Communication with veinsat back of neck Fig. 89.—Diagram showing the communications existing between the lateral and cavernous sinusesand the external veins, indicated in the figure by* (Leubej. The cerebral veins are subject to the same lesions that influenceveins elsewhere, but we are only called upon to consider phlebitis andvenous thrombosis. They are usually associated and, practically speak-ing, severe cerebral symptoms are alone produced by thrombi. Throm-bosis may occur in the pial vessels of the convexity and extend intothe longitudinal sinus, or, beginning in the sinus, may invade thecortex and give rise to localized softening and focal manifestations.The entire subject may be conveniently described under the head ofSinus Thrombosis. SINUS THROMBOSIS.Intracranial sinus thrombosis occurs more frequently even thanthrombosis in the pelvic veins, or in those of the lower extremities. It DISEASES OF THE CEREBRAL VEINS AND SINUSES. 233 is favored by the sluggi

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