CHAPTER X DISEASES OF THE NERVOUS SYSTEM

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GENERAL DISCUSSION.—The nervous system may be divided into central and peripheral portions. The central portion comprises the brain or encephalon and the spinal cord. These organs are lodged in the cranial cavity and spinal canal. The nerves and ganglia comprise the peripheral portion. The nerves form white cords that are made up of nerve fibres. The ganglia are grayish enlargements formed by nerve cells and supporting tissue, situated at the origin of the nerve trunk or along its course.

The brain is an oval mass of nerve tissue elongated from before to behind, and slightly depressed from above to below. It terminates posteriorly in the spinal cord. It is divided into three portions: cerebrum, isthmus and cerebellum (Fig. 25).

The cerebrum forms the anterior portion. It is divided into two lateral lobes or hemispheres by a deep longitudinal fissure. The surface of the cerebral hemispheres is gray and roughened by pleats or folds separated by grooves or fissures. The gray or cortical layer is distinct from the white or connecting structure. The cortical layer is made up of nerve cells or areas which control the voluntary muscles of the body. It is connected with the special senses of touch, temperature and muscle-sense. The gray layer is connected with the posterior portion of the brain, the isthmus or medulla oblongata, by the white nerve tissue.

The isthmus or medulla oblongata is elongated from before to behind and connects the cerebral hemispheres with the spinal cord, anteriorly and posteriorly. It is divided into several different portions, and is made up largely of white connecting fibres with nuclei of gray matter scattered through them. The isthmus is hollowed out by a system of small ventricles that extend from the cerebral hemispheres to the spinal cord, where they terminate in a small, central canal. The isthmus is the highway between the spinal cord and the higher nerve centres. It has in it certain cell centres that give origin to six of the cranial nerves.

[Illustration: FIG. 25.—Photograph of model of horse's brain: longitudinal section; lateral view; cerebrum; cerebellum; and isthmus.]

The third division of the brain is the cerebellum. This is a single mass supported by the isthmus. It is situated posterior to the cerebrum, from which it is separated by a transverse fold of the membranes covering the brain. This mass of nerve tissue is much smaller than the cerebrum. The white nerve tissue forms central nuclei which send out branches that ramify in every direction. The centre of the muscular sense is said to be located in this division of the brain. A second function is the maintenance of body equilibrium through its connection with the nerve of the middle ear.

The spinal cord commences at the posterior opening (occipital foramen) of the cranial cavity, and terminates posteriorly in the lumbar region at the upper third of that portion of the spinal canal belonging to the sacrum. It is thick, white in color, irregularly cylindrical in shape, slightly flattened above and below and reaches its largest diameter in the lower cervical and lumbar regions. The spinal canal is lined by the outer membrane that envelops the cord, which aids in fixing this organ to the wall of the canal. The spinal cord is formed by white and gray nerve tissue. The gray tissue is situated within the white, and it is arranged in the form of two lateral comma-shaped columns connected by a narrow commissure of gray matter. The extremities of the lateral gray columns mark the origin of the superior and inferior roots of the spinal nerves. The white tissue of the cord is also divided into lateral portions by superior and median fissures. The inferior fissure does not extend as far as the gray commissure, leaving the lateral inferior columns connected by a white commissure. There are certain centres in the spinal cord that are capable of carrying on certain reflex actions independent of the chief centre in the brain. The white matter of the cord is made up of paths over which impulses to and from the brain are transmitted.

There are twelve pairs of cranial nerves. Two pairs belong exclusively to the special senses, smell and sight. Altogether there are ten pairs that are devoted to functions connected with the head, either as nerves of the special senses or in a motor or sensory capacity (Figs. 26 and 27). There are two pairs distributed to other regions. These are the tenth and eleventh pairs. The tenth pair or pneumogastric is distributed to the vital organs lodged within the body cavities.

There are forty-two or forty-three pairs of spinal nerves given off from the spinal cord. The spinal nerves have two roots, superior and inferior. The superior is the sensory root and the inferior is the motor root, both uniting to form a mixed nerve trunk. The sensory root possesses a ganglion from which it originates.

Generally speaking, the cerebrospinal system deals with the special senses, movement of skeletal or voluntary muscles and cutaneous and muscular sensations. In addition to the above there is a distinct system termed the sympathetic. The sympathetic system consists of a long cord, studded with ganglia, extending from the base of the neck to the sacrum. The ganglia are connected with the inferior roots of the spinal nerves. This cord is connected with groups of ganglia and nerve fibres in the abdominal region, and this in turn is connected with terminal ganglia in distant tissues. This system of nerves is distributed to the vital organs of the body.

[Illustration: FIG. 26.—Unilateral facial paralysis caused by injury to seventh cranial nerve; note position of lip.]

[Illustration: FIG. 27.—Bilateral facial paralysis. This colt was affected with facial paralysis when born.]

CONGESTION AND ANAEMIA OF THE BRAIN.—In congestion of the brain, the blood-vessels distributed to the nerve tissue become engorged with blood. It may be either active or passive.

The cause of anaemia of the brain is an insufficient blood supply. This may be due to an abundant haemorrhage and cardiac weakness caused by shock or organic heart disease.

The causes of congestion of the brain are faulty methods of care and feeding. It sometimes occurs when horses are shipped in poorly ventilated cars, or kept in close stables. Climatic changes, or changing the stable and feed, may cause it. Extremely fat animals and animals that are rapidly putting on fat are predisposed to this disorder. Improper methods of feeding, lack of exercise, constipation and excitement are the most common causes. Passive congestion may result from pressure on the jugular vein by obstructing the flow of blood from the brain, and raising blood pressure in the blood-vessels of the brain. It is sometimes caused by organic heart trouble.

The symptoms come on very suddenly in congestion of the brain. The disease may manifest itself as soon as the animal is moved out of the stall or bed, or it may come on while it is feeding. In slight cases, the animal appears excited and restless, the eyes are bright, the pupils are dilated, and the pulse beats and respirations quickened. If the animal is moving about, it may stop suddenly and show marked symptoms of a nervous disorder, such as turning around, running straight ahead and falling down. The period of excitement is usually brief and may be followed by marked depression. The mucous membranes of the head are a deep, red color.

The symptoms in anaemic conditions of the brain are loss of consciousness, stumbling, falling to the ground and sometimes convulsions. The pig and dog may vomit. Favorable cases return to the normal within a few hours. Acute inflammatory diseases of the brain and its coverings are associated with cerebral hyperaemia or congestion.

The treatment of mild cases is to give the animal quiet, well-ventilated quarters, where it can not injure itself. The animal should be first subjected to a severe diet and later given easily-digested feed. If it appears greatly excited, bleeding should be practised. Cold applications to the head should be used in all cases in the small animals. For internal treatment, purgatives are indicated. In cases of anaemia, stimulants, vigorous massage, artificial respiration and injection of physiological salt solution are indicated.

SUNSTROKE AND HEATSTROKE.—Most writers make no distinction between heatstroke and sunstroke. The latter is caused by the direct rays of the sun falling on the animal, and the former from a high temperature and poor circulation of air in the surroundings. Under such conditions, the physical condition of the animal and exertion play an important part in the production of the nervous disturbance.

The first symptoms usually noted are rapid, labored breathing, depression and an anxious expression on the face. The horse usually stops sweating. The body temperature is extremely high, the pulse beats weak, the animal trembles, falls to the ground and dies in a convulsion. Unless measures directed toward relief of the animal are taken early in the attack, death commonly occurs. Overheating is rather common in horses that are worked hard during the extremely warm weather. Horses that have been once overheated are afterwards unable to stand severe work during the hot months of the year. Horses in this condition become unthrifty, do not sweat freely and pant if the work is hard and the weather is warm.

The preventive measures consist in not exposing animals that are fat, or out of condition to severe exercise if the day is close and hot, especially if they are not accustomed to it. When handling or working animals during hot weather all possible precautions to prevent overheating should be practised.

The treatment consists in placing the animal in a cool, shady place and fomenting the body with cold water. The cold packs or cold fomentations should be applied to the head and forepart of the body only. Small doses of stimulants may be given.

MENINGO-CEREBRITIS.—The discussion of inflammation of the brain and its coverings can be combined conveniently, as the causes, symptoms and treatment vary but little. This disorder is met with in all species of domestic animals, but it is most common in horses and mules. Some writers state that meningo-cerebritis is more common during the warm season than it is in the winter. However, this does not hold true in all sections. In the middle west, this disease is more common in late fall and winter.

It is commonly caused by taking into the body with the feed and water certain organisms and toxins that are capable of producing an inflammation of the brain. The infectious organism or toxins are taken up by the absorbing vessels of the intestines.

The secondary form of the disease usually occurs in connection with other diseases such as influenza, tuberculosis and acute pharyngitis, or as a result of wound infection. Unhygienic conditions, as unsanitary and poorly ventilated stables and filthy drinking places, play a very important part in the production of the simple or acute form of meningitis.

Sudden changes in the feed and the feeding of rotten, mouldy feeds may cause it. In the fall and winter it may follow the feeding of too heavy a ration of shredded fodder or any other dry feed. Other exciting causes are overexertion, changes in climate, excitement, injuries to the head and the feeding of too heavy and concentrated a ration.

The symptoms vary in the different individuals, but in general they are the same. At first the animal is dull, or extremely nervous and sensitive to sounds. The pupils of the eye are unevenly contracted at first, later dilated. The eyes may appear staring, or they are rolled about, so that the white portion is prominent. The unusual excitement is manifested in different ways by the different species. During the dull period the animal is indifferent to its surroundings. When it is excited, the pulse beats and respirations are accelerated. The body temperature is often elevated early in the disease. There is a partial or complete loss of appetite. Paralysis may be the most prominent symptom. The animal lies in a natural position, or stretched out and lifting the head occasionally and moving the limbs, but it is unable to rise. Loss of sensibility may gradually progress until the animal becomes semiconscious, or comatose.

In case the inflammation is acute and involves the greater portion of the brain and its coverings, death occurs within a few days. Occasionally the animal survives several weeks. There are few permanent or complete recoveries.

The principal lines of treatment are preventive measures and careful nursing. This is one of the diseases that can be largely prevented by observing all possible sanitary precautions in caring for animals. It is admitted by writers that the greater majority of cases of inflammation of the brain and its coverings are caused by infection. Proper stable construction, ventilation and disposal of the manure, an occasional disinfection of the stable, cleaning and disinfecting the drinking places and water tanks, and the necessary attention to the ration greatly reduce the loss from this disease.

The animal should be gotten into a dark, quiet, roomy stall that is well bedded. A swing may be placed under a large animal if it is able to support any of its weight, and there is no evidence of nervous excitement. We should do nothing to disturb it. If possible, the position of the animal that is unable to get up should be changed, and the bed kept clean and dry. Cold in the form of wet or ice packs should be applied to the head during the acute stage. Symptoms of excitement must be overcome by large doses of sedatives. Iodide of potassium and strychnine may help in overcoming the paralysis. The bowels should be emptied by giving an occasional physic. A very light, easily digested diet should be fed.

PARTIAL OR COMPLETE PARALYSIS OF THE POSTERIOR PORTION OF THE BODY.—This disorder is especially common in the small animals. The hog is most frequently affected.

The following causes may be mentioned: Inflammation of the spinal cord commonly occurs in influenza, strangles and mixed infections; constipation brought on by improper feeding and insufficient exercise is a predisposing cause; injuries such as strains and blows in the region of the back may also cause it; compression of the spinal cord by the vertebrae is no doubt a very common cause; dislocation, enlargement of the disks between the vertebrae, bony enlargements resulting from strains and injuries, rickets, tuberculosis and actinomycosis and tumors commonly cause compression of the cord. It is rarely caused by parasites. Young, fat animals are especially prone to injuries in the region of the back. Such animals may suffer from malnutrition of the bones, and complete fractures of the thigh bones may occur. Extreme heat from the sun's rays and close, hot quarters are probable causes.

The symptom that is most prominent is the partial or complete loss of control over the movements of the hind parts. The appetite may be little interfered with. The animal may sit on the haunches, with the limbs projecting forward, or swing the hind quarters from side to side in walking or trotting. Irregularity in the animal's movements is especially noticeable when turning or backing. In case the animal suffers pain, the spine is held rigid or arched, and when forced to move, marked evidence of pain occurs. There may be a decrease or increase in the sensibility of the part. The increase in sensibility is noticed on striking the muscles with the hand or rubbing the hair the wrong way. Spasmodic twitching or contractions in the muscles sometimes occur. There is frequent elevation of temperature. The animal is unable to pass urine or faeces, or there may be an involuntary passage of the body excretions.

The outcome of this disease is unfavorable. Acute inflammation of the covering of the cord may subside within a few days. Cases that do not recover within a few weeks should be destroyed. Paralysis of the hind parts should not be confused with rheumatism, azoturia and other disorders that may interfere with the movements of the posterior portion of the body.

The treatment is largely along preventive lines. A predisposition toward rickets, and injuries, may be prevented by feeding a proper ration, and permitting the animal to take exercise. The quarters and the attendant are frequently responsible for injuries. If this is the case, the rough handling of the animals should be immediately corrected, and any condition of the quarters that favors the crowding or piling up of animals should be changed. Large animals may be placed in swings if they are able to support a part of their weight on the hind limbs. This is especially indicated at the very beginning of the disorder. Small animals should be given a good bed. A very light, easily digested ration should be fed. An occasional physic should be administered. Strychnine and iodide of potassium may be given. Cold applications to the back are indicated.

QUESTIONS

1. What organs comprise the central portion of the nervous system? Peripheral portion?

2. Give a general description of the brain.

3. Give a general description of the spinal cord.

4. What is the sympathetic system?

5. Describe the causes and symptoms of congestion of the brain.

6. What is heatstroke? Give the treatment.

7. Give the preventive and curative treatment of inflammation of the brain.

8. State the causes, and give the proper treatment of paralysis of the posterior portion of the body.

                                                                                                                                                                                                                                                                                                           

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