TROPHIC SYMPTOMS AND DISORDERS.

Degenerative atrophy, in hæmoglobinuria, laryngeal hemiplegia,

neurectomy, nerve lesion, brain or cord lesion, lead poisoning,

disuse. Dermatitis, ulceration, morbid secretion, polyuria,

mellituria, albuminuria, poisonous milk.

=Degenerative Atrophy=. From section, disease, atrophy or degeneration

of nerves or nerve centres, the muscles, which they normally innervate,

waste, often to an extreme degree. As examples of this we see the

atrophy of the triceps extensor cruris and other groups in

hæmoglobinuria, of the intrinsic laryngeal muscles in _roaring_, of the

muscles supplied in neurectomy, and of groups of muscles in myelitis,

broken back, lead paralysis, and scapular muscular atrophy. True to the

law of wasting of physiologically inert organs, the nerves are atrophied

and degenerated, and often also the bones, joints and skin.

The degeneration of an active organ applies to the nervous tissues

themselves. According to the law of Waller, the nerve fibre (axis

cylinder), when cut off from its nutritive centre (cell body with

nucleus) degenerates and ultimately perishes. The axis cylinder is a

component part of the neuron, which includes also its continuation in

the cell and nucleus, and when the latter, which is the source and

origin of both nerve impulse and trophic control, is lost, the inactive

axis of the nerve fibre degenerates. This law is now availed of in

tracing the distribution of nerve filaments, the degeneration being

found in those that have been cut off from their nerve cells while those

that come into the nerve trunk from other sources, distal of the injury,

maintain their integrity.

In addition to this peripheral atrophy, a degeneration central of the

injury to the nerve is seen under certain conditions, but especially in

intrauterine life. In such cases the atrophy may extend up to and

include the central nerve cells, causing a secondary central nervous

lesion from an initial peripheral one.

By bearing these laws of nerve atrophy in mind, lesions that would

otherwise be obscure, may be satisfactorily accounted for.

=Eruptions and Ulcerations of Nervous Origin.= Herpes or shingles in man

is now recognized as a nervous disease, circumscribed to the

distribution of given nerves and occurring unilaterally or bilaterally.

Deep-seated dermatitis, vesicles, neuralgia, pain, itching and

formication are common accompaniments. The whole is traced to disease of

the ganglion on the posterior (superior) root of the spinal nerve

distributed to the part. This establishes a principle, and in

inscrutable and obstinate, circumscribed skin disease the veterinarian

should see if it coincides with the distribution of one or more sensory

spinal nerves.

_Ulcerations_ are often caused by the lack of protection of a part after

paralysis, thus perforation of the cornea will follow section or disease

of the trigeminus. These may be prevented by carefully covering the

part, and even cured by a fine protective covering like collodion.

=Alteration of the Secretions= often follow on section of the

sympathetic trunks, that of the cervical sympathetic in rabbits causing

excessive congestion of the facial skin, with exudation and scabby

product, also profuse secretion of sweat, tears, and ear cerumen and

dry, scaly skin.

=Polyuria= is determined by section of one point of the medulla behind

the root of the vagus, _mellituria_ by puncture between the vagus and

auditory nerves (the hepatic vaso-motor centre), and _albuminuria_ by a

puncture in front of the latter. Impairment of the hepatic vaso-motor

tracts in the spinal cord, or of the anterior or posterior cervical

sympathetic ganglia, or of the first thoracic ganglion equally

determines nervous mellituria.

=Poisonous milk= produced in hard worked mares, or over-excited dams of

other species, causing dyspepsia, diarrhœa, arthritis or other trouble

in the suckling, must be in part attributed to nervous disorder.

Practically all secretions and nutrition are largely under nervous

control, so that modifications in quantity or quality can often be

attributed to nervous influence.

Text book of veterinary medicine, Volume 3 (of 5) · 第 9 / 294 题