The Glasgow Medical Journal, Vol. 70

Excerpt from The Glasgow Medical Journal, Vol. 70: July to December, 1908 The spinal meninges are the seat of a diffuse tuberculous infection, most marked, however, below the level of the fourth dorsal segment. Above this, the anterior and posterior roots are quite healthy, while inferiorly these structures are more or less degenerate, and are more severely affected as the sacral region is approached. Throughout the whole cervical and dorsal regions of the cord, ascending degeneration of the posterior columns, cere bellar and antero-lateral ascending tracts, is demonstrable by both Marchi's and Weigert's methods of staining. At the level of the first lumbar segment, the cord is exceedingly degenerate, there remaining only a mere fringe of health myelinated fibres in the anterior commissure and around both anterior cornua. Here the white matter shows much infiltra tion with round cells and a slight degree of sclerosis. The motor cells in both anterior cornua are few in number, and many that persist show marked chromatolysis. In the fourth lumbar segment the whole of the left half of the cord, except ing a small portion of the posterior column, is occupied by a tuberculous nodule, which has displaced and distorted the cornua on the right side. The second sacral segment is more or less softened, and presents an extreme degree of degenera tion throughout. Here, then, we find a general tuberculous spinal meningitis4 Das. Monro and findlay - Cerebello-olivary Fibres. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.