Physiology And Histology of the Cerebral Convolutions. Also, Poisons of the Intellect

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Although the study of aphasia introduces pathology, still it seems proper to speak of it here, for the reason that physiology is the study of functions, and one of the func- tions of the convolutions in man being language, it is neces- sary to treat of it, even though in a summary manner. To tell the truth, our knowledge of aphasia has, of all the phy- siology of the convolutions, certainly the greatest precision and interest.
Aphasia is not a phase of motor paralysis. The muscles of the tongue
..., larynx, and velum palati retain their power of contraction, and their functions are unaltered. The trouble is a loss of ideo-motor coordination.
There is neither dementia nor paralysis, the defect is neither of intellection nor motion, but of the bond which unites the two, it being the effort of intellection which in- duces motion. Meynert was the first to describe the lesion of aphasia as a fracture of the psycho-motor centres. The term psycho-motor seems excellently applied to aphasia ; it is not a motor centre, like the ventricle of the gray sub- stance (fourth) which is the motor-centre of respiration, nor is it yet a psychic centre, since there is motor paralysis ; it is a psycho-motor centre.


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