Imágenes de páginas
PDF
EPUB

in reality a host of distinct powers. We must first have images of concrete things and ideas of abstract qualities and relations; we must next have the memory of words and then the capacity so to associate each idea or image with a particular word that, when the word is heard, the idea shall forthwith enter our mind. We must conversely, as soon as the idea arises in our mind, associate with it a mental image of the word, and by means of this image we must innervate our articulatory apparatus so as to reproduce the word as physical sound. To read or to write a language other elements still must be introduced. But it is plain that the faculty of spoken language alone is so complicated as to call into play almost all the elementary powers which the mind possesses, memory, imagination, association, judgment, and volition. A portion of the brain competent to be the adequate seat of such a faculty would needs be an entire brain in miniature,-just as the faculty itself is really a specification of the entire man, a sort of homunculus.

Yet just such homunculi are for the most part the phrenological organs. As Lange says:

"We have a parliament of little men together, each one of whom, as happens also in a real parliament, possesses but a single idea which he ceaselessly strives to make prevail"-benevolence, firmness, hope, and the rest. "Instead of one soul, phrenology gives us forty, each alone as enigmatic as the full aggregate psychic life can be. Instead of dividing the latter into effective elements, she divides it into personal beings of peculiar character. . . . 'Herr Pastor, sure there be a horse inside,' called out the peasants to X after their spiritual shepherd had spent hours in explaining to them the construction of the locomotive. With a horse inside truly everything becomes clear, even though it be a queer enough sort of horse-the horse itself calls for no explanation! Phrenology takes a start to get beyond the point of view of the ghost-like soul entity, but she ends by populating the whole skull with ghosts of the same order."*

Modern Science conceives of the matter in a very different way. Brain and mind alike consist of simple elements, sensory and motor. "All nervous centres," says Dr. Hughlings Jackson,+ "from the lowest to the very highest (the *Geschichte des Materialismus, 2d ed., n. p. 345. West Riding Asylum Reports, 1876, p. 267.

substrata of consciousness), are made up of nothing else than nervous arrangements, representing impressions and movements. . . . I do not see of what other materials the brain can be made." Meynert represents the matter similarly when he calls the cortex of the hemispheres the surface of projection for every muscle and every sensitive point of the body. The muscles and the sensitive points are represented each by a cortical point, and the brain is nothing but the sum of all these cortical points, to which, on the mental side, as many ideas correspond. Ideas of sensation, ideas of motion are, on the other hand, the elementary factors out of which the mind is built up by the associationists in psychology. There is a complete parallelism between the two analyses, the same diagram of little dots, circles, or triangles joined by lines symbolizes equally well the cerebral and mental processes: the dots stand for cells or ideas, the lines for fibres or associations. We shall have later to criticise this analysis so far as it relates to the mind; but there is no doubt that it is a most convenient, and has been a most useful, hypothesis, formulating the facts in an extremely natural way.

If, then, we grant that motor and sensory ideas variously associated are the materials of the mind, all we need do to get a complete diagram of the mind's and the brain's relations should be to ascertain which sensory idea corresponds to which sensational surface of projection, and which motor idea to which muscular surface of projection. The associations would then correspond to the fibrous connections between the various surfaces. This distinct cerebral localization of the various elementary sorts of idea has been treated as a 'postulate' by many physiologists (e.g. Munk); and the most stirring controversy in nerve-physiology which the present generation has seen has been the localizationquestion.

THE LOCALIZATION OF FUNCTIONS IN THE

HEMISPHERES.

Up to 1870, the opinion which prevailed was that which the experiments of Flourens on pigeons' brains had made plausible, namely, that the different functions of the hemi

spheres were not locally separated, but carried on each by the aid of the whole organ. Hitzig in 1870 showed, however, that in a dog's brain highly specialized movements could be produced by electric irritation of determinate regions of the cortex; and Ferrier and Munk, half a dozen years later, seemed to prove, either by irritations or excisions or both, that there were equally determinate regions connected with the senses of sight, touch, hearing, and smell. Munk's special sensorial localizations, however, disagreed with Ferrier's; and Goltz, from his extirpationexperiments, came to a conclusion adverse to strict localization of any kind. The controversy is not yet over. I will not pretend to say anything more of it historically, but give a brief account of the condition in which matters at present stand.

The one thing which is perfectly well established is this, that the 'central' convolutions, on either side of the fissure of Rolando, and (at least in the monkey) the calloso-marginal convolution (which is continuous with them on the mesial surface where one hemisphere is applied against the other), form the region by which all the motor incitations which leave the cortex pass out, on their way to those executive centres in the region of the pons, medulla, and spinal cord from which the muscular contractions are discharged in the last resort. The existence of this so-called 'motor zone' is established by the lines of evidence successively given below:

(1) Cortical Irritations. Electrical currents of small intensity applied to the surface of the said convolutions in dogs, monkeys, and other animals, produce well-defined movements in face, fore-limb, hind-limb, tail, or trunk, according as one point or another of the surface is irritated. These movements affect almost invariably the side opposite to the brain irritations: If the left hemisphere be excited, the movement is of the right leg, side of face, etc. All the objections at first raised against the validity of these experiments have been overcome. The movements are certainly not due to irritations of the base of the brain by the downward spread of the current, for: a) mechanical irritations will produce them, though less easily than electrical; b) shifting the

electrodes to a point close by on the surface changes the movement in ways quite inexplicable by changed physical conduction of the current; c) if the cortical 'centre' for a certain movement be cut under with a sharp knife but left in situ, although the electric conductivity is physically unaltered by the operation, the physiological conductivity is gone and currents of the same strength no longer produce the movemen's which they did; d) the time-interval between the application of the electric stimulus to the cortex and the resultant movement is what it would be if the cortex acted physiologically and not merely physically in transmitting the irritation. It is namely a well-known fact that when a nerve-current has to pass through the spinal cord to excite a muscle by reflex action, the time is longer than if it passes directly down the motor nerve: the cells of the cord take a certain time to discharge. Similarly, when a stimulus is applied directly to the cortex the muscle contracts two or three hundredths of a second later than it does when the place on the cortex is cut away and the electrodes are applied to the white fibres below.*

(2) Cortical Ablations. When the cortical spot which is found to produce a movement of the fore-leg, in a dog, is excised (see spot 5 in Fig. 5), the leg in question becomes peculiarly affected. At first it seems paralyzed. Soon, however, it is used with the other legs, but badly. The animal does not bear his weight on it, allows it to rest on its dorsal surface, stands with it crossing the other leg, does not remove it if it hangs over the edge of a table, can no longer 'give the paw' at word of command if able to do so before the operation, does not use it for scratching the ground, or holding a bone as formerly, lets it slip out when running on a smooth

*For a thorough discussion of the various objections, see Ferrier's 'Functions of the Brain,' 2d ed., pp. 227-234. and François-Franck's 'Leçons sur les Fonctions Motrices du Cerveau' (1887). Leçon 31. The most minutely accurate experiments on irritation of cortical points are those of Paneth, in Pflüger's Archiv, vol 37, p. 528.—Recently the skull has been fearlessly opened by surgeons, and operations upon the human brain performed, sometimes with the happiest results. In some of these operations the cortex has been electrically excited for the purpose of more exactly localizing the spot, and the movements first observed in dogs and monkeys have then been verified in men.

surface or when shaking himself, etc., etc. Sensibility of all kinds seems diminished as well as motility, but of this I shall speak later on. Moreover the dog tends in voluntary movements to swerve towards the side of the brain-lesion instead of going straight forward. All these symptoms gradually decrease, so that even with a very severe brain-lesion the dog may be outwardly indistinguishable from a well dog after eight or ten weeks. Still, a slight chloroformization will reproduce the disturbances, even then. There is a certain appearance of ataxic in-coördination in the movements -the dog lifts his fore-feet high and brings them down with more strength than usual, and yet the trouble is not ordi

[graphic][subsumed][subsumed][subsumed]

Fig. 5.-Left Hemisphere of Dog's Brain, after Ferrier. 4. the fissure of Sylvius. B, the crucial sulcus. O, the olfactory bulb. I, II, III, IV, indicate the first, second, third, and fourth external convolutions respectively. (1), (4), and (5) are on the sigmoid gyrus.

nary lack of co-ordination. Neither is there paralysis. The strength of whatever movements are made is as great as ever-dogs with extensive destruction of the motor zone can jump as high and bite as hard as ever they did, but they seem less easily moved to do anything with the affected parts. Dr. Loeb, who has studied the motor disturbances of dogs more carefully than any one, conceives of them en masse as effects of an increased inertia in all the processes of innervation towards the side opposed to the lesion. All such movements require an unwonted effort for their execution; and when only the normally usual effort is made they fall behind in effectiveness.*

J. Loeb: 'Beiträge zur Physiologie des Grosshirns; Pflüger's Archiv, xxxix. 293. I simplify the author's statement.

« AnteriorContinuar »