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The Spread of Infection by the Ascending Lymph Stream of Nerves from Peripheral Inflammatory Foci to the Central Nervous System

Published online by Cambridge University Press:  19 February 2018

Orr ,
Rows  and
Stephenson
Orr
Affiliation:
From the Laboratories of Prestwich and Lancaster Asylums
Rows
Affiliation:
From the Laboratories of Prestwich and Lancaster Asylums
Stephenson
Affiliation:
From the Laboratories of Prestwich and Lancaster Asylums
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Extract

Since experimental observation has established the fact that inflammation of the central nervous system is easily induced by infection of the ascending lymph stream of nerves, it would seem that the views regarding the ætiology of inflammatory lesions of the cerebro-spinal axis must undergo considerable revision, and that an insufficient degree of importance has so far been attributed to the rôle and wide-reaching results of lymphogenous infection. That the spinal cord and brain are exposed to infection along this path cannot be doubted. This view is based upon both clinical and experimental data; and its value in connection with the elucidation of the ætiology of some nervous lesions may now receive more recognition, seeing that the range of application of the hæmatogenous theory is becoming more limited. To take one example: acute anterior poliomyelitis is no longer regarded by neurologists as a hæmatogenous infection of the spinal cord, with a special selectivity for the motor nuclei. Recent work shows conclusively that the inflammatory phenomena can only be the result of a lymphogenous infection.

Type
Part I.—Original Articles
Information
Journal of Mental Science , Volume 59 , Issue 246 , July 1913 , pp. 411 - 428
Copyright
Copyright © Royal College of Psychiatrists, 1913 

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References

(1) Orr, and Rows, . —Review of Neurology and Psychiatry, May, 1907.Google Scholar
(2) Orr, and Rows, .—Review of Neurology and Psychiatry, December, 1910.Google Scholar
(3) Orr, and Rows, .—Review of Neurology and Psychiatry, September, 1912.Google Scholar
(4) Walker, .—Clinical Society's Transactions, Vol. xxxviii.Google Scholar
(5) Leyden, .—Quoted by Walker, .Google Scholar
(6) Collins, and Armour, .—Review of Neurology and Psychiatry, August, 1912.Google Scholar
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