The Knowledge of the Physician. a Course of Lectures Delivered At the Boston University School of Medicine, May, 1884

Cover The Knowledge of the Physician. a Course of Lectures Delivered At the Boston University School of Medicine, May, 1884
The Knowledge of the Physician. a Course of Lectures Delivered At the Boston University School of Medicine, May, 1884
Richard Hughes
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It ex- hibits the ramifications of the middle cerebral or 213 Hosted by Google 214 CEREBRAL LOCALISATION.
Sylvian artery (so called from its entering at the Syl- vian fissure). You will see at a glance that the re- gion supplied by its anterior branches is just that which experiment has marked out as the psycho- motor area (this is our author's name for the motor portion of the cortex cerebri) ; that its distribution explains why the posterior portion of the three frontal convolutions should be
... functionally different from the remainder (which is supplied by the anterior Hosted by Google THE SYLVIAN ARTERY. 21$ cerebral) ; and that aphasia may well exist alone, since Broca's convolution has a branch to itself.
Let this be plugged by an embolism, and atrophy of the seat of speech may be the sole lesion, sud- den aphasia the sole result. This actually occurred in a case observed by Charcot at the Salpetriere.
The posterior branches of the artery, you will observe, reach the angular gyrus and the temporo- sphenoidal convolutions, which have been ascer- tained to be the seat of the senses of sight and hearing, which through the circulation therefore — as well as (doubtless) through innumerable commis- sural nerve-fibres — are associated with the motor centres.


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