fibres proceeding from the occipital lobe. There seem to be a few cases on record where there was injury to the occipital lobes without visual defect. Ferrier has collected as many as possible to prove his localization in the angular gyrus.[1] A strict application of logical principles would make one of these cases outweigh one hundred contrary ones. And yet, remembering how imperfect observations may be, and how individual brains may vary, it would certainly be rash for their sake to throw away the enormous amount of positive evidence for the occipital lobes. Individual variability is always a possible explanation of an anomalous case. There is no more prominent anatomical fact than that of the 'decussation of the pyramids,' nor any more usual pathological fact than its consequence, that left-handed hemorrhages into the motor region produce right-handed paralyses. And yet the decussation is variable in amount, and seems sometimes to be absent altogether.[2] If, in such a case as this last, the left brain were to become the seat of apoplexy, the left and not the right half of the body would be the one to suffer paralysis.
The schema on the opposite page, copied from Dr. Seguin, expresses, on the whole, the probable truth about the regions concerned in vision. Not the entire occipital lobes, but the so-called cunei, and the first convolutions, are the cortical parts most intimately concerned. Nothnagel agrees with Seguin in this limitation of the essential tracts.[3]
A most interesting effect of cortical disorder is mental blindness. This consists not so much in insensibility to optical impressions, as in inability to understand them. Psychologically it is interpretable as loss of associations between optical sensations and what they signify; and any interruption of the paths between the optic centres and the centres for other ideas ought to bring it about. Thus,
- ↑ Localization of Cerebral Disease (1878), pp. 117–8.
- ↑ For cases see Flechsig: Die Leitungsbahnen in Gehirn u. Rückenmark (Leipzig, 1876), pp. 112, 272; Exner's Untersuchungen, etc., p. 83; Ferrier's Localization, etc., p. 11; François-Franck's Cerveau Moteur, p. 63, note.
- ↑ E. C. Seguin: Hemianopsia of Cerebral Origin, in Journal of Nervous and Mental Disease, vol. XIII. p. 30.Nothnagel und Naunyn: Ueber die Localization der Gehirnkrankheiten (Wiesbaden, 1887), p. 10.
