McCutcheon, Guy R.

English

University of Nebraska Medical Center Research: DigitalCommons@UNMC

University of Nebraska Medical Center DigitalCommons@UNMC MD Theses Special Collections 5-1-1931 Surgery of the autonomic nervous system Guy R. McCutcheon University of Nebraska Medical Center This manuscript is historical in nature and may not reflect current medical research and practice. Search PubMed for current research. Follow this and additional works at: https://digitalcommons.unmc.edu/mdtheses  Part of the Medical Education Commons Recommended Citation McCutcheon, Guy R., "Surgery of the autonomic nervous system" (1931). MD Theses. 163. https://digitalcommons.unmc.edu/mdtheses/163 This Thesis is brought to you for free and open access by the Special Collections at DigitalCommons@UNMC. It has been accepted for inclusion in MD Theses by an authorized administrator of DigitalCommons@UNMC. For more information, please contact digitalcommons@unmc.edu. ~~ ....:.:. ,) J" .. .:... .. - • OF' few years has been cJ_inie sllrg;ery. The re no~nic neTVOUS systern. The ec; II Aut o:nornic Hervous r:'eners_l '.--Py, P e Bon, Kunt Z c"nd 118 t e t funct i onel.1 eli vi on o:f sial i031 research H~1..ltono~l1ic ner·~~'r'01.1S em 1ble e-ind,e t:z';r f i:n t~D,e f"r)I"Dl of 1)1e; Far too en e'TIployed in 9 ,:S .. re f8'\'7 0:,:' use~ it, to desi~-ic nervous em g'lFmc.s, heart B.nd s1'!1oo-'Gh muscle 1vith their tilis t: o88cr8.1 '3 S 1 ('tivis:Lcn of " vi on,s will :ees.ec-"~i O~l i 8 (} 11€\1Ter ~ C. n'" .. l,.,~ •• 10:0 of' ,i.s., I'e-I .. too C iC2.t it io_ neC.f:"2 :r~e11C8 to ~3e T"l'ley'" 8.:re Sf~ :l.onic ;:t; ion of it} ~ne:cve 8 t "f'"1) .. p.:ee f"i~bf~r· s fr~o::~l eJlfj is ",.r.ii tl1 COIle is re (Jre 11eCe8~~~E~~r:y :eOI~ C011~~:~lC'~~;:Lon of or smooth a, })ost -3-t t is to follow is C1"' l.~J \ .. ".1. irl S.O~fle t,.,e"G 1. to ...:; ly c).e-8 t arteries of innervation Ii 8 derived :fou:c:'th lu!ub3r nerve8~'Pilof.~e to "l;I1e ci 1m es ""IC;Y'1 ~,::. Q l "'}l?: .t"' .. ~_r-<'~, ' .... ",1>:"" "" ..... ~ .... ".. J...". ,_ ca.use muscles nerves cause cant ion. of~ t 8.e t}le jo latton of cny of t L __ _ e ., J_ I'eE.O:::1 of~ t side.'. to to not via. j,.Ilfe:rior cB,.rrlia,c nerves, t ·C116 lov16rcerv1ccl 2,116 of the symps 10 -trunk -- then rami t D the correspondinG; IleJ. ne:::ves cord. Is. The t t 1c innervation of viscera is al so 1:'t beca.use according to tbe M;3.cKenzie theory of t lJainfu~ stimulus is initic~oted in the sympathetic nerve of a orgox.:., it is .medii.ltEid to the sYlllplc~the·cic 'crunJ:c ;) s to c. conCClOUS sensatj.oTI the ext.erior segment s nerve of sig:niflca,!lCe i21 (3., coxu;)l function ~1Ut anomie rel1:)t:l.on erred /~, 'l -,'., -.::: j J_~ .... b:ratn innervat 1 ion of the cord. 11 oecome of t of' t anomie neI'VDllS sy em re:w.lins of crlstu:r'bed 1c caSBS promises to ed anomie nfr-e ems is every-'y t i 011 o:E~ action is reversed in -5-S:i()11S of" of' blood VeE E01..1.;::;.8:LO'[1 --one tC) to be of eVRneseent :refeI'E~nee t + .. -:. .... r. v ...... \....· feet or.; t j. e , l~. 1~ . 1J() 1 i ~3i'n :1. B-e TP :1. ion of irl11erV.9:t ion cal rA c"ect::1. em roent~;eno­f·oI1o\~l"j. :1. t ~l V,~. 80-~ CC1't .... \w . -., ." ~ft..L ·V El, sc Lt..Lb .. l~ ies i s :eeYr1ov"ed~ eIl tot 0 ()r 110 rnec~llS 1" ""'-,,f i,E .~ --::::J-ic neJ~VOUS 11 e:-c"i'{e f:::Xl18 0-the: em. 8 ,.12 6Jfd 2.. clattdicntion.2 . This thetic nerve sys~em. c] .. ~~. C Fee., .2.I1 ier;~:I ,,:tol ie o'l ib1e .. ()I' COI1.-ere' r, "Di vi on of the main sYYi1pathet io t rU.nk oauses a. grea._t er and rYL014 e l':::' .. 8t in;?; vrJ..8oclil'8.te,t ~_ on tl1c.n IJertc'.;rt eri[tl 8Y~1'1-pethectomy. fl/3','fhis fe,ct . 8 been 8ubst2mti8,ted by r'oent ence.1fJ:I Bernheim 1 Ct. ·yoea.t; e 8 repo:~<t S eJ Ce.-se 'f..~ :f01" Y/J]i;J~:i ',cll ::s t (;ers thect 17 1 1.() ,,, ,:.::; 1 t:n oe:~-t~.OX18 t ." (',: I'-C ') it see· '" ,," 'Pilitv' w;~ SONIErl';., e 5 /I/:J,.PJ;D, o '1 .. t. '1 ..L 1 (.J C8. se s eTltly 3~(;~!: eraEt, ic e ~bove repo~t lS in :iJP.J .,~) r~ () -~t e:n e ~l t c ()i°{l~plet el";! ct 1 1 "1 . .L SC) it iE~ 1 1 1 :Lc Jon-e S()'~'je en'! r 5.11-Tfr=t·IlrleI~ re-ex-then :1 Oil. ~. It 8 ff'i eur. blun t di E, sect iOl1. dlf:ficult:than is litt s1.10clr fro eli SC1)~SS -lJ-i~; t F:TI" 5., f:1 c ti~,e i!lCi on 7.", cie ve e-iC .. erlt i:t' i , seC:')"11d ]:es leF8 his crtrt ()-l ~)11 'l1()si s i.n~~ e~e-ce:rl"~ (j1:;J,SCS Bille irl V;fO~':leIl E~.Il~:'.: :L11 [;',rt e:c:L08clerot ic to £1.1"1 O~'-, v e t; 0 CO~CI'e anat this is t s-il11":te s ];ec i::11-u~:~e ~.'_l.e fOI'e cases for tion. a. tIle lleSB E: tl'18\t nc~ t~sn tabl~ fo~ _~L 1;,) di-T".'"I-,J.,..i..l o~ ~ 1'e I S c: .. i Se0 £e reli :f OI~ e it ,-. t :(1f~ r ooolusive ~rteriRl e~darteritie is of ~~l~ S ~~els. ts in. thro:uboa.ngiitis ohli-IS- uniform.2~ stive measures are to avoided in tjis se:~8es lOX" t:rlet 1. c i()Yleet is '1,-, lue 'co t 11 tJe C~)11Sic~e:ced,. 11 e->;-o ..,'(',) () 1-1· r1 0 m (1)' ~t t:: ~ 0 (() t::5 '" t" 0 (:),' 0 1-'3 l:j d" rJ' d" N) ("":1) (1) () ~+ i;;) ej{ '" ::; ro m "" d" CD l., :,~O- r.'<~ W i-" I ,;1 d'~\) ~ 1-," c'l" ., .... -.; j.-~i ('D ~ r:'} ~1.i c+ (1) 1-" f-I () J-l"~ (1) !j} f"f} f':::!,f ... • i"-l ~,-!~ 0 (,) ;~) m (t,> CD. 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'be ()f of' t t i\)~l 0:( ~~ ~~e?~"~; ec. e C"'::'~S irl t enerate 0TICe they ec-is t;Ge entj,re t is tE~tiol1 e ..; '0;...., ~.L. ..:..1. .J.-.. v -13-In '011e rrl(;'!ltl1 every b st 001 B 1;'.,"e~':'e V]',~;;:< S st i]~ 1. e r lD ~~nent cure. lil~clli C!1 (::x E se -j 0 rnen. l)el.ie;,re is 011t • 120 ,HI' t8. ill course neees t2tes an eX2et 1 EC'-'-~ eeJ.,. 11D'\ro-to c'~.ete:r'--~ J.e"\TeJ_ +-., one O""[l 8. C o:f 't To -1; s. ~:: e :-t .~.~ .tl e t; eEl 11SI!e IS. Jity uitllo~t relief. felt ~ lit~le E~l -17-x e::n fo:1" 1:'el i t i. OT18 , e=v-r-el1 ior~,ted. I?-· taree cases -- one :ce,) t o i1e s, l)eC:~.\lS,e t ~~i~~.\rt~ -beE?11 t ,1 J. Soci-s, ly , SIS lower extremltie2 lCl (:;:8 having l?.t e:1 oJ:; e. e ney_ ~l t ~)"\)"e1ne:nt ! • f; .. 1.0I'E: () :.. ti s ~::eptej}10er 18,1930 el'l1i~)f:~r 32, 1 t;le '01..1 ~C 1~ i": '·llUCI"l X-::~'2 y de:::1oTI--- there is so~e Il oc~c· :: 8/ tef Dy' -;:::n:::.I"re:.tl.t S ~1, J. t ~..f~ "!. ~ "pC) £~ 8 cl11"~":~ ~fee t " -- t;lle e:,{t 1?8LJ.i-c ie 8 &.~·e '{J':? :c::n e.,n<", (~-r:f ~ .. .;.ere Be ees e in is a little pain. p knees see~ a little more sti -, -C::ll.n. :-I ~l -3J-~J8. i:.l 8ii61.1.·cly~ a(.;.~ ;5.,;':8 a li"Gvlc cvlo~. R2 co 1 istely :fe r: C) net CJll~~::i., a. C e S'L1CC)eCE;, S OT iTl .since operation. I~ is pas lower extre~ities were tl·~.~:,-t -.ex.J)er~iC~1cf-ton Ol)t i ic 1:; ~j_ ~:~c 11er"710 "_~"8 a~lC,·~ (}~~:T~_ 81"11. t ye[)TS of ys1010g1 re-e-o ~_~ i 0::1 S: -te procedures have i-" t~·~8 r[",.t i "~·.:l~ I CYL:i' :~ J.1F.Lt onl~~ Sec cu. so I u.f . c:n:riched. peri .. ~ e~lel~ i s ~ .. cc i ~. _ 'J of Lert e [. n·Y~ t '.-; i s :f 0 ~2n1 Ol'ni t D on trfle £:"e ,:f :r e 1 =~ .. ~::: "v'" infor,11-c; nel'VOUS so 8\7i·;-iOTl-c~reful selection 11l.l~e scierl't ific of t s:sr erll stiIlct cO~ltri­~-"~~,-:. ~.(:'J ~v~n t; ~r' ~.2r c nervous system. l I. ~ "~. -.! ; ",\Ylt:)" t ~f~ rr)«<; z of t Colon. 1c C 12.C ic Eervo'J.s ..,.- . " .illT!est,1 of ects t i }1 + v tic mny in L01]!TeJ.' L:lln·· er,Jt :-l.re (',gi. -etl18C -of ion--CirC!11E\""" r col-.Bro';-ri g De son". It S'lI~s* ~:~.O:,:::,C~/~l:·'s il f,()() $ i::e~l:r'ol;l 8:~ ::'s<;,c. ~'. t . '30 i o}¥ 9 '~g; '3 /1 =<? 1 '?in .lo.~.··~'2/ c , ,. . .-3 l.I~ ,:-~ >11 "'[", .c 4 T • ?: ,1I~0(~_ F .. ... "~~ l ~1DO ~ '::; '. I"/e~ricl1e~~PT'e;:ir3e iC.:.t.le \:;:l; .,''', ... " :r 1 .. ~ 2.-,-, .j i 1 S • i &; ",,, c; , . r~ ');)_ 07) i C) 11 e e t Cltljr ,3 ~ l7 .".. ) ~~ })i S 6 Et.S es Qspasm of P ph-etic o:c o;~j~"li on2C-"1_ s; -r'<eli ef ()J~ j~lco}:,ol :310 ~{ ic -,d't t i ties. ony. T ri U \I> V ";> C'lTe Abd01::1--'i~o ~< • .,' '-' i -d. A.M.A· ~~ ~ 13S2.-BB Mllty, 3) IS30. r~liv"\ '..../"-,-,:,;; ;g, T v • .~ _~:-.::C ~ t ") 0 .r;1:C • 1. ':r1. " S ~ ... -1.. @ ";: (; ; I ,-- ) -~, ~3 ":J.:r.~;g II '~S:f;'~1r' t :=29 230 '92.9. ';) Vo/.4!4t_ 

Surgery of the autonomic nervous system

https://digitalcommons.unmc.edu/cgi/viewcontent.cgi?article=1162&amp;context=mdtheses

Surgery of the autonomic nervous system

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