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SWEAT SECRETION IN MAN: V. DISTURBANCES OF SWEAT SECRETION WITH LESIONS OF THE PONS, MEDULLA AND CERVICAL PORTION OF CORD

SWEAT SECRETION IN MAN: V. DISTURBANCES OF SWEAT SECRETION WITH LESIONS OF THE PONS, MEDULLA AND... Abstract The medulla oblongata has an important influence on the secretion of sweat. This fact was first recognized in 1878 by Adamkiewicz,1 who observed perspiration of all foot pads of the cat on electrical stimulation of the medulla. The experiments of earlier physiologists indicated that the pathways for sweating undergo a crossing at the level of the medulla oblongata and then descend in the lateral columns of the spinal cord. In 1909 Karplus and Kreidl2 presented experimental evidence that the oculopupillary and sweating pathways descending from the hypothalamus to the upper cervical region of the cord remain uncrossed, but that each half of the cervical portion of the cord controls the sweating of all four extremities. In a recent experimental study, Magoun, Ranson and Hetherington3 found that the descending vegetative pathways from the hypothalamus pass through the mesial and lateral portions of the pontile tegmentum as well and References 1. Adamkiewicz, A.: Die Secretion des Schweisses , Berlin, A. Hirschwald, 1878. 2. Karplus, J. P., and Kreidl, A.: Gehirn und Sympathicus: I. Zwischenhirnbasis und Halssympathicus , Arch. f. d. ges. Physiol. 129:138-144 ( (Aug. 19) ) 1909.Crossref 3. Karplus, J. P.: Die Physiologie der vegetativen Zentren , in Bumke, O., and Foerster, O.: Handbuch der Neurologie , Berlin, Julius Springer, 1937, vol. 2, p. 402. 4. Magoun, H. W.; Ranson, S. W., and Hetherington, A.: Descending Connections from the Hypothalamus , Arch. Neurol. & Psychiat. 39:1127-1149 ( (June) ) 1938. 5. Marburg ( Ueber die neueren Fortschritte in der topischen Diagnostik des Pons und der Oblongata , Deutsche Ztschr. f. Nervenh. 41:41-91, 1911) 6. Környey ( Symptomatologie der verlängerten Marks, der Brücke, des Mittelhirns und des Sehügels , in Bumke, O., and Foerster, O.: Handbuch der Neurologie , Berlin, Julius Springer, 1937, vol. 5, p. 445). 7. List, C. F., and Peet, M. M.: Sweat Secretion in Man: Sweating Responses in Normal Persons , Arch. Neurol. & Psychiat. 39: 1228-1237 [ (June) ] 1938 8. The clinical symptoms in this case corresponded with the "upper lateral hemibulbar syndrome" of Foix, Hillemand and Schalit, which these authors explained by an occlusion of the "lateral artery of the bulb," a direct branch from the basilar artery. 9. The specimen was obtained from Dr. R. U. Light, Kalamazoo, Mich. 10. The sections were prepared by Dr. K. Löwenberg, neuropathologist at the Neuropsychiatric Institute, University of Michigan. 11. This case was previously reported by Guttmann and List. The patient was not registered in the hospital. 12. Ariëns Kappers, C. U.; Huber, G. C., and Crosby, E. C.: The Comparative Anatomy of the Nervous System of Vertebrates, Including Man , New York, The Macmillan Company, 1936, vol. 1, pp. 269 and 657-662. 13. Papez, J. W.: Reticulospinal Tracts in the Cat , J. Comp. Neurol. 41:365-399 ( (April) ) 1926. 14. Ranson, S. W., in discussion on Peet, M. M., and List, C. F.: The Changes of Sweating in Lesions of the Pons, Medulla Oblongata and Cervical Cord , Tr. Am. Neurol. A. 64:92-95, 1938. 15. Gesell, R.; Bricker, J., and Magee, C.: Structural and Functional Organization of the Central Mechanism Controlling Breathing , Am. J. Physiol. 117:423-452 ( (Nov.) ) 1936. 16. Foerster, O.: Symptomatologie der Erkrankungen des Rückenmarks und seiner Wurzeln , in Bumke, O., and Foerster, O.: Handbuch der Neurologie , Berlin, Julius Springer, 1937, vol. 5, p. 1. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

SWEAT SECRETION IN MAN: V. DISTURBANCES OF SWEAT SECRETION WITH LESIONS OF THE PONS, MEDULLA AND CERVICAL PORTION OF CORD

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Publisher
American Medical Association
Copyright
Copyright © 1939 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1939.02270240136010
Publisher site
See Article on Publisher Site

Abstract

Abstract The medulla oblongata has an important influence on the secretion of sweat. This fact was first recognized in 1878 by Adamkiewicz,1 who observed perspiration of all foot pads of the cat on electrical stimulation of the medulla. The experiments of earlier physiologists indicated that the pathways for sweating undergo a crossing at the level of the medulla oblongata and then descend in the lateral columns of the spinal cord. In 1909 Karplus and Kreidl2 presented experimental evidence that the oculopupillary and sweating pathways descending from the hypothalamus to the upper cervical region of the cord remain uncrossed, but that each half of the cervical portion of the cord controls the sweating of all four extremities. In a recent experimental study, Magoun, Ranson and Hetherington3 found that the descending vegetative pathways from the hypothalamus pass through the mesial and lateral portions of the pontile tegmentum as well and References 1. Adamkiewicz, A.: Die Secretion des Schweisses , Berlin, A. Hirschwald, 1878. 2. Karplus, J. P., and Kreidl, A.: Gehirn und Sympathicus: I. Zwischenhirnbasis und Halssympathicus , Arch. f. d. ges. Physiol. 129:138-144 ( (Aug. 19) ) 1909.Crossref 3. Karplus, J. P.: Die Physiologie der vegetativen Zentren , in Bumke, O., and Foerster, O.: Handbuch der Neurologie , Berlin, Julius Springer, 1937, vol. 2, p. 402. 4. Magoun, H. W.; Ranson, S. W., and Hetherington, A.: Descending Connections from the Hypothalamus , Arch. Neurol. & Psychiat. 39:1127-1149 ( (June) ) 1938. 5. Marburg ( Ueber die neueren Fortschritte in der topischen Diagnostik des Pons und der Oblongata , Deutsche Ztschr. f. Nervenh. 41:41-91, 1911) 6. Környey ( Symptomatologie der verlängerten Marks, der Brücke, des Mittelhirns und des Sehügels , in Bumke, O., and Foerster, O.: Handbuch der Neurologie , Berlin, Julius Springer, 1937, vol. 5, p. 445). 7. List, C. F., and Peet, M. M.: Sweat Secretion in Man: Sweating Responses in Normal Persons , Arch. Neurol. & Psychiat. 39: 1228-1237 [ (June) ] 1938 8. The clinical symptoms in this case corresponded with the "upper lateral hemibulbar syndrome" of Foix, Hillemand and Schalit, which these authors explained by an occlusion of the "lateral artery of the bulb," a direct branch from the basilar artery. 9. The specimen was obtained from Dr. R. U. Light, Kalamazoo, Mich. 10. The sections were prepared by Dr. K. Löwenberg, neuropathologist at the Neuropsychiatric Institute, University of Michigan. 11. This case was previously reported by Guttmann and List. The patient was not registered in the hospital. 12. Ariëns Kappers, C. U.; Huber, G. C., and Crosby, E. C.: The Comparative Anatomy of the Nervous System of Vertebrates, Including Man , New York, The Macmillan Company, 1936, vol. 1, pp. 269 and 657-662. 13. Papez, J. W.: Reticulospinal Tracts in the Cat , J. Comp. Neurol. 41:365-399 ( (April) ) 1926. 14. Ranson, S. W., in discussion on Peet, M. M., and List, C. F.: The Changes of Sweating in Lesions of the Pons, Medulla Oblongata and Cervical Cord , Tr. Am. Neurol. A. 64:92-95, 1938. 15. Gesell, R.; Bricker, J., and Magee, C.: Structural and Functional Organization of the Central Mechanism Controlling Breathing , Am. J. Physiol. 117:423-452 ( (Nov.) ) 1936. 16. Foerster, O.: Symptomatologie der Erkrankungen des Rückenmarks und seiner Wurzeln , in Bumke, O., and Foerster, O.: Handbuch der Neurologie , Berlin, Julius Springer, 1937, vol. 5, p. 1.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Dec 1, 1939

References