scholarly journals II. The Croonian Lecture, on some physiological researches, respecting the influence of the brain on the action of the heart, and on the generation of animal heat

1811 ◽  
Vol 101 ◽  
pp. 36-48 ◽  

Having had the honour of being appointed, by the President of the Royal Society, to give the Croonian Lecture, I trust that the following facts and observations will be considered as tend­ing sufficiently to promote the objects, for which the Lecture was instituted. They appear to throw some light on the mode, in which the influence of the brain is necessary to the conti­nuance of the action of the heart; and on the effect, which the changes produced on the blood in respiration have on the heat of the animal body. In making experiments on animals to ascertain how far the influence of the brain is necessary to the action of the heart, I found that when an animal was pithed by dividing the spinal marrow in the upper part of the neck, respiration was immediately destroyed, but the heart still continued to contract cir­culating dark-coloured blood, and that in some instances from ten to fifteen minutes elapsed before its action had entirely ceased. I further found that when the head was removed, the divided blood vessels being secured by a ligature, the circulation still continued, apparently unaffected by the entire separation of the brain. These experiments confirmed the observations of Mr. Cruikshank and M. Bichat, that the brain is not directly necessary to the action of the heart, and that when the functions of the brain are destroyed, the circu­lation ceases only in consequence of the suspension of respira­tion. This led me to conclude, that, if respiration was produced artificially, the heart would continue to contract for a still longer period of time after the removal of the brain. The truth of this conclusion was ascertained by the following experiment.

1809 ◽  
Vol 99 ◽  
pp. 146-147

Sir, According to your request, I send you an account of the facts I have ascertained, respecting a canal I discovered in the year 1803, in the medulla spinalis of the horse, bullock, sheep, hog, and dog; and should it appear to you deserving of being laid before the Royal Society, I shall feel myself particularly obliged, by having so great an honour conferred upon me. Upon tracing the sixth ventricle of the brain, which corresponds to the fourth in the human subject, to its apparent termination, the calamus scriptorius, I perceived the appearance of a canal, continuing by a direct course into the centre of the spinal marrow. To ascertain with accuracy whether such structure existed throughout its whole length, I made sections of the spinal marrow at different distances from the brain, and found that each divided portion exhibited an orifice with a diameter sufficient to admit a large sized pin; from which a small quantity of transparent colourless fluid issued, like that contained in the ventricles of the brain. The canal is lined by a membrane resembling the tunica arachnoidea, and is situated above the fissure of the medulla, being separated by a medullary layer: it is most easily distinguished where the large nerves are given off in the bend of the neck and sacrum, imperceptibly terminating in the cauda equina. Having satisfactorily ascertained its existence through the whole length of the spinal marrow, my next object was to discover whether it was a continued tube from one extremity to the other: this was most decidedly proved, by dividing the spinal marrow through the middle, and pouring mercury into the orifice where the canal was cut across, it passed in a small stream, with equal facility towards the brain (into which it entered), or in a contrary direction to where the spinal marrow terminates.


The author first alludes to what usually happens in affections of the brain, namely, that the loss of voluntary power and of sensation, manifest themselves in the opposite side of the body to that in which the cerebral lesion exists, a fact which has been attempted to be explained by the crossing of the fibres at the junction of the medulla oblongata with the anterior or motor columns of the medulla spinalis ; but such a structure, he observes, affords no explanation of the loss of sensation. The author then, referring to the communication of Sir Charles Bell to the Royal Society, in the year 1835, describing a decussation connected with the posterior columns, or columns of sensation, mentions that the accuracy of these dissections was doubted by Mr. Mayo and other eminent anatomists. The author proceeds to state that the symptoms of cerebral lesion do not always take place on the opposite side of the body to that in which the lesion of the brain exists, but that they occur sometimes on the same side; that the loss of power and of sensation, although confined to the same side, may exist in either the upper or the lower extremity; but that both are not necessarily implicated; and that, in fact, cases occur where there are marked deviations from what may be considered the more common occurrence. Having observed such cases, and not being aware of any satisfactory explanation, the author examined with care the continuation upwards of the anterior and posterior columns of the spinal marrow into the medulla oblongata and found that the decussation at the upper part of the spinal marrow belonged in part to the columns for motion, and in part to the columns for sensation; and farther, that the decussation is only partial with respect to either of these columns; thus elucidating hy the observation of the actual structure what before appeared very unsatisfactory in pathology, and anomalous in disease. The paper is illustrated by drawings made from the dissections of the author.


1839 ◽  
Vol 14 (1) ◽  
pp. 237-241 ◽  
Author(s):  
Charles Bell

Interesting as theoptical properties of the eye have been to philosophers in every age, there are conditions of this organ which are no less curious, and which have not had their share of attention.In the year 1823, I introduced the subject to the Royal Society of London, nearly in the terms I am now using, but there is much more in the subject than I then conceived, although I see no reason to change the mode of contemplating it.The eight muscles of the eye, and the five nerves, exclusive of the optic nerve, which pass to them, imply the complex nature of the apparatus exterior to the globe, and I fear it is too plain that the subject has not been satisfactorily treated.It is chiefly with respect to the protecting motions of the eye that the difficulty occurs, for I hope the dependence of the proper organ of vision on the voluntary muscles of the eye, has been proved and acknowledged.Permit me to draw the attention of the Society to what appears a very simple piece of anatomy, the circular muscle which closes the eyelids, orbicularis palpebrarum.


It has been observed by Mr. Cruickshank, and the same observations have been made by M. Bichat (in his Récherches Physiologiques sur la Vic et la Mort ), that the brain is not directly necessary to the action of the heart; and that when the functions of the brain are destroyed, the circulation of the blood ceases only in consequence of the suspension of the respiration. The former of these observations Mr. Brodie had found to be correct; for if the spinal marrow were divided, though the respiration was thereby immediately stopped, still the heart continued to contract, and to propel forward, for a short time, dark-coloured blood; and even when the head was entirely removed, if the blood-vessels were secured by ligature, the circulation seemed unaffected by the entire separation. It appeared, therefore, in conformity to the second observation, to cease solely in consequence of the suspension of respiration; but Mr. Brodie conceived that this point might admit of direct proof by experiment; for in that case the heart should continue to act for a greater length of time, if the process of respiration were carried on artificially.


The author, after referring to his former papers which have at different times been read to the Royal Society, and published in their Transactions, is led to view the brain and spinal marrow as the only active parts of the nervous system 3 the nerves, whether belonging to the class of cerebral or ganglionic, together with their plexuses and ganglions, serving only as the means of conveying and combining the various parts of the former organs, and therefore being passive with reference to their functions. This view of the subject is directly opposed to that which has been adopted by many physiologists, who consider these ganglions as the sources, and not the mere vehicles, of nervous influence. In order to determine this point, the author made the following experiment on an animal that had been pithed so as to destroy its sensibility, while the action of the heart continued. Under these circumstances, he applied mechanical irritation, and also various chemical agents, to the ganglions and plexuses of the ganglionic nerves, and found that the heart continued to beat with the same regularity as before, and with the same frequency of pulsation.


1815 ◽  
Vol 105 ◽  
pp. 424-446 ◽  

In a paper which I had the honour to lay before the Royal Society, I observed that M. le Gallois founds his explanation of many of the phenomena which he describes in his Treatise, Sur la Principe de la Vie , &c. on the supposition that the circulation nearly ceases in any part when that portion of the spinal marrow from which it receives its nerves is destroyed. The accuracy of this supposition many circumstances led me to question. It is easy to subject it to the test of experiment. Exp . 1. The spinal marrow of a frog was destroyed by moving, in various directions, a wire introduced into the spine by a hole made in the lowest part of it, and passed up into the brain. The animal was immediately deprived of sensibility and voluntary motion, and appeared to be quite dead. After it had lain in this state for several minutes, part of the web of one of the hind legs being brought into the field of a microscope, the blood was seen circulating in it as rapidly as in the web of a healthy frog. In making such experiments it is necessary to be aware, that handling and stretching the web tends to impair the vigour of the circulation in it. If this experiment is objected to on account of its being made on an animal of cold blood, I may refer to the seventh and eighth experiments related in the paper above alluded to, in which the carotid and femoral arteries were found beating and performing the circulation after the spinal marrow had been wholly destroyed.


1849 ◽  
Vol 139 ◽  
pp. 47-48

Since the communication above referred to was presented to the Royal Society, I have made a very minute dissection in alcohol of the whole nervous system of the young heifer’s heart. The distribution of the ganglia and nerves over the entire surface of the heart, and the relations of these structures to the blood-vessels and muscular substance, are far more fully displayed in these preparations than in any of my former dissections. On the anterior surface, there are distinctly visible to the naked eye ninety ganglia or ganglionic enlargements on the nerves, which pass obliquely across the arteries and the muscular fibres of the ventricles from their base to the apex. These ganglionic enlargements are observed on the nerves, not only where they are crossing the arteries, but where they are ramifying on the muscular substance without the blood-vessels. On the posterior surface, the principal branches of the coronary arteries plunge into the muscular substance of the heart near the base, and many nerves with ganglia accompany them throughout the walls to the lining membrane and columnse carneæ. From the sudden disappearance of the chief branches of the coronary arteries on the posterior surface, the nervous structure distributed over a consider­ able portion of the left ventricle is completely isolated from the blood-vessels, and on these, numerous ganglionic enlargements are likewise observed, but smaller in size than the chains of ganglia formed over the blood-vessels on the anterior surface of the heart. In the accompanying beautiful drawings, Mr. West has depicted with the greatest accuracy and minuteness the whole nervous structures demon­strable in these preparations on the surface of the heart. But the ganglia and nerves represented in these drawings constitute only a small portion of the nervous system of the heart, numerous ganglia being formed in the walls of the heart which no artist can represent. It can be clearly demonstrated that every artery distributed throughout the walls of the Uterus and Heart, and every muscular fasciculus of these organs, is supplied with nerves upon which ganglia are formed.


2021 ◽  
pp. 86-89

Perivascular spaces; also known as the Virchow-Robin Spaces, they are pleurally lined, interstitial fluid-filled areas that surround certain blood vessels in various organs, especially the perforating arteries in the brain, with an immunological function. Dilated perivascular spaces are divided into three types. The first of these is on the lenticulostriate artery, the second is in the cortex following the path of the medullary artery, and the third is in the midbrain. Perivascular spaces can be detected as areas of dilatation on MR images. Although a limited number of perivascular spaces can be seen in a normal brain, the increase in the number of these spaces has been associated with the incidence of various neurodegenerative diseases. Different theories have been suggested about the tendency of the perivascular spaces to expand. Current theories include mechanical trauma due to cerebrospinal fluid pulsing, elongation of penetrating blood vessels, unusual vascular permeability, and increased fluid exudation. In addition, the brain tissue atrophy that occurs with aging; It is thought to contribute to the widening of perivascular spaces by causing shrinkage of arteries, altered arterial wall permeability, obstruction of lymphatic drainage pathways and vascular demyelination. It is assumed that the clinical significance of the dilation tendencies of the perivascular spaces is based on shape change rather than size. These spaces have been mostly observed in brain regions such as corpus callosum, cingulate gyrus, dentate nucleus, substantia nigra and various arterial basins including lenticulostriate artery and mesencephalothalamic artery. In conclusion, when sections are taken on MR imaging, it is possible that perivascular spaces may be confused with microvascular diseases and some neurodegenerative changes. In addition, perivascular spaces can be seen without pathological significance. Therefore, it would be appropriate to investigate the etiological relationship by evaluating the radiological findings and clinical picture together.


1870 ◽  
Vol 16 (73) ◽  
pp. 52-58
Author(s):  
J. T. Sabben

In publishing the following cases, recently under my charge, of mental derangement dependent upon atheromatous deposit in the coats of the larger cerebral arteries, without any apparent disease of the brain substance, I desire, if possible, to define the symptoms of that condition during life, so as to enable them to be distinguished from those of general paralysis, with which I believe them often to be confused.


1901 ◽  
Vol 47 (199) ◽  
pp. 729-737 ◽  
Author(s):  
Joseph Shaw Bolton

This demonstration was a further report on the subject laid before the Association at the meeting at Claybury in February last, viz., the morbid changes occurring in the brain and other intra-cranial contents in amentia and dementia. In a paper read before the Royal Society in the spring of 1900, and subsequently published in the Philosophical Transactions, it was stated, as the result of a systematic micrometric examination of the visuo-sensory (primary visual) and visuo-psychic (lower associational) regions of the cerebral cortex, that the depth of the pyramidal layer of nerve-cells varies with the amentia or dementia existing in the patient. At the meeting of the Association referred to it was further shown, from an analysis, clinical and pathological, of 121 cases of insanity which appeared consecutively in the post-mortem room at Claybury, that the morbid conditions inside the skull-cap in insanity, viz., abnormalities in the dura mater, the pia arachnoid, the ependyma and intra-cranial fluid, etc., are the accompaniments of and vary in degree with dementia alone, and are independent of the duration of the mental disease. Since that date the pre-frontal (higher associational) region has been systematically examined in nineteen cases, viz., normal persons and normal aments (infants), and cases of amentia, of chronic and recurrent insanity without appreciable dementia, and of dementia, and the results obtained form the subject of the present demonstration. A paper on the whole subject will shortly be published in the Archives of the Claybury Laboratory.


Sign in / Sign up

Export Citation Format

Share Document