A treatise on neuralgic diseases, dependent upon irritation of the spinal marrow and ganglia of the sympathetic nerve / By Thomas Pridgin Teale.

  • Teale, Thomas Pridgin, 1801?-1867.
Date:
1829
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on neuralgic diseases, dependent upon irritation of the spinal marrow and ganglia of the sympathetic nerve / By Thomas Pridgin Teale. Source: Wellcome Collection.

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    spinal marrow and its membranes are so securely pro- tected by the vertebral column as not to be influenced by any moderate degree of pressure upon the vertebre. To these objections I would reply that the affection most probably is not confined to the spinal marrow and its membranes, but that the surrounding tissues, as the ligaments, the cellular connecting medium, &c., are all involved in a state of phlogosis, This would account for the sensibility to pressure whenever the connecting ligaments of the vertebre were thereby disturbed. When the symptoms would lead one to suspect that both the ganglia and the corresponding portion of the spinal marrow are affected, it is probable that the disease may have extended from one to the other through the me- dium of the connecting or anastomosing nervous branches. This receives support from a case related by Lobstein, which will hereafter be quoted. In this instance ‘‘ there was phlogosis of the ninth and tenth thoracic ganglia, and of the two anastoinosing branches sent from the costal. nerves.” As these diseases seldom prove fatal, it rarely hap- pens that the aid of dissection can be obtained in elu- cidation of their pathology; and even if opportunities for post mortem examinations should occur, as when death has been produced by some other cause during the existence of these diseases, it is probable that the inves- tigation may only prove unsatisfactory in detecting any morbid appearances. But it must be recollected that, although the parts after death may not exhibit any traces of inflammation, we are not warranted in con- cluding that they have not recently been the seat of disease. When the conjunctiva has been intensely in- jected from inflammation, or the skin the seat of redness F 2