File:Nervous and mental diseases (1911) (14591686417).jpg

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Identifier: nervousmentald00chur (find matches)
Title: Nervous and mental diseases
Year: 1911 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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of recurrence. When the paralytic state is established,its management is the same as that laid down in the previous chapter,and for the terminal monoplegia or hemiplegia the indications are likewiseidentical. The treatment of aphasias and the development of the oppo-site-sided speech-centers have been described in the chapter on Aphasia. DISEASES OF THE CEREBRAL VEINS AXE SIXUSES. 231 CHAPTER VIII.DISEASES OF THE CEREBRAL VEINS AND SINUSES* Anatomical Considerations.—The blood entering the cranium bythe internal carotids and vertebrals after irrigating the encephalon makesits exit mainly by the internal jugular veins. The return circulationfrom the ventricular portion of the cerebrum and the callosal portionof the hemispheres is by the Gallenic veins and inferior longitudinalsinus, all of which empty into the straight sinus. From the convexitythe pial veins run upward and open into the superior longitudinal sinus Communication, through-parietal foramen with external veins of skull.
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Ext. jugular vein Int. jugular Fig. 88. -Diagram showing the communications existing between the superior longitudinal andlateral sinuses and the external veins, indicated in the figure by * (LeubeJ. in a forward direction against the slow blood-current of this duralchannel. Here the circulatory conditions are rendered still moreunfavorable by hydrostatic pressure, by the presence of trabecular in thesinuses which impede the flow of blood, and by venous retardationduring inspiration. The cerebellar veins empty mainly into the lateralsinuses. Into the dural sinuses also empty many veins from the faceand scalp. The facial vein communicates with the cavernous sinusthrough the ophthalmic vein. The veins of the nasal vault open intothe anterior extremity of the superior longitudinal sinus. Xumerousveins of the scalp along the median line have a similar outlet. Veinsfrom the mastoid process and its cutaneous surface enter the lateral and 232 DISEASES OF THE BRAIN PROPER. petrosal sinuses, a

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