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Abstract The possible cause of residual posttraumatic nervous symptoms has long been the subject of discussion. Variance in opinion as to the origin of these manifestations has given rise to two schools of thought. It is held by one school that such symptoms are largely of psychogenic origin and are the direct result of mental and emotional shock incident to the injury. The second group, on the other hand, believe that posttraumatic manifestations are due predominantly to organic lesions of the brain, although the character and distribution of such lesions have not been clearly established. It was our interest in this question that led us to begin what has proved to be a rather prolonged investigation of the changes in the elements of the brain following severe injury. While it is recognized that a study of morphologic changes could scarcely be expected to explain so variable a clinical picture, it was References 1. Rand, Carl W., and Courville, Cyril B.: Histologic Studies of the Brain in Cases of Fatal Injury to the Head: IV. Reaction of the Classic Neuroglia , Arch. Neurol. & Psychiat. 27:1342 ( (June) ) 1932. 2. Gildea, E. F., and Cobb, Stanley: The Effects of Anemia on the Cerebral Cortex of the Cat , Arch. Neurol. & Psychiat. 23:876 ( (May) ) 1930. 3. Courville, Cyril B.: Asphyxia as a Consequence of Nitrous Oxide Anesthesia , Medicine 15:129 ( (May) ) 1936. 4. Winkelman, N. W., and Eckel, John L.: Brain Trauma: Histopathology During the Early Stages , Arch. Neurol. & Psychiat. 31:956 ( (May) ) 1934. 5. Courville, C. B., and Olsen, C. W.: Post-Traumatic Cerebral Softening: Delayed Symptoms Suggesting Interval Hemorrhage Following Minor Injury to the Head , West. J. Surg. 43: 219 [ (April) ] 1935 6. This phenomenon of preservation necrosis, first described by Ramón y Cajal in experimental wounds of the brain, will be given more attention in our next study concerned with changes in nerve cells. Ramón y Cajal asserted that cells showing this reaction were dead but, because of some property of the blood serum, maintained a strong affinity for reduced silver. 7. Courville, Cyril B., and Kimball, T. S.: Histologic Observations in a Case of Old Gunshot Wound of the Brain , Arch. Path. 17:10 ( (Jan.) ) 1934. 8. Courville, Cyril B.: Diffuse Cortical Contusion of the Occipital Lobe , Arch. Path. 20:523 ( (Oct.) ) 1935. 9. Foerster, O., and Penfield, W.: The Structural Basis of Traumatic Epilepsy and Results of Radical Operation , Brain 53:99, 1930.
Archives of Neurology & Psychiatry – American Medical Association
Published: Dec 1, 1936
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