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How much where significance should we give these findings outside of the motor tracts? Would this degeneration by stains which show only degeneration of a longer duration? Are they not due to some process shortly preceding death which is not directly related to the original process? Or is it due to a cachexia, as Mar burg suggests as a cause of the posterior columns change found in some cases? Or is it a toxin circulating shortly before death which affects widespread white matter and related perhaps to the same process which causes cell atrophy and pyramidal Practically every operation in surgerj has gone through a process of evolution, various operators contributing suggestions from time to time until a more or less standardized course of procedure has been perfected.
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