Editorials and Medical Intelligence

1853 Boston Medical and Surgical Journal  
of nerves are distributed, lost their tonicity and 'became relaxed, thereby permitting the symmetrical muscles of the other side to draw the centre of the face across the median line. The condition of the tern-' poral and masseter muscles was not observed, but the entire anoesthesia of the left side of the face, renders it probable that as the lesion was within the cranium and farther back than the origin of the 5th pair, the muscles to which the anterior root of the 5th is distributed, partook
more » ... istributed, partook of the loss of function. Breathing became more and more difficult, and the lungs were clogged with mucus. The countenance was turgid and discolored by the imperfectly arterialized blood. During the last days there was excessive vascular action, and death resulted finally from the combined effects of coma and asthenia. -The involuntary muscles which appertain to the function of organic life, and never acknowledge the direction of the will, are not necessarily dependent upon any influence derived from the nervous centres ; and though they might continue to act if a due supply of arterial blood were kept up, even in the absence of a brain, still experiment has shown that the readiest way to affect the heart and other involuntary muscles through the nervous system, is to act upon a large portion of that system at once. The marked affection of the involuntary muscles in this case seems to imply that the cerebral lesion was extensive and severe.
doi:10.1056/nejm185306010481808 fatcat:dlnhbbbd4zeknoqqm3j2j4oawi