COLUMBIA LIBRARIES OFFSITE HEALTH SCIENCES STANDARD HX64098435 QM455 .H85 An Eskimo brain. By RECAP An Eskimo Brain BY ALES HRDLICKA, M.D. NEW YORK THE KNICKERBOCKER PRESS NEW YORK 1901 Q/W455 MM Columbia Stotoetsitp COLLEGE OF PHYSICIANS AND SURGEONS LIBRARY Digitized by the Internet Archive in 2010 with funding from Columbia University Libraries http://www.archive.org/details/eskimobrainOOhrdl An Eskimo Brain BY ALES HRDLICKA, M.D. NEW YORK THE KNICKERBOCKER PRESS NEW YORK I9OI An Eskimo Brain BY ALES HRDLICKA, M.D. NEW YORK THE KNICKERBOCKER PRESS NEW YORK I9OI 40 13778 KISHU AND MENEE (PHOTOGRAPHED ON THEIR ADMISSION TO BELLEVUE HOSPITAL) AN ESKIMO BRAIN By ALES HRDLICKA The brain in question ' is that of Kishu (or Kissuk), an adult male Eskimo of about forty-five years of age, who died of acute general tuberculosis.2 Kishu was a chief of his tribe ; he meas- ured 1.64 m. in height, weighed about 170 lbs., was muscular, and in every respect normally developed. He died at Bellevue Hospital within less than five months after the inception of his disease. Plate XIII shows him (together with his son) as he ap- peared on admission to the hospital. The autopsy was performed in my presence by Dr Harlow Brooks. I am indebted to Dr Brooks for notes concerning the general condition of the brain and its membranes, and to the authorities of Bellevue hospital and the American Museum of Natural History for the privilege of examining the specimen* Before the skull was opened, I obtained the following measure- ments of the head : Diam. antero-post. max 19.8 cm. Diam. lateral max 1 5. 1 cm. 1 The specimen was examined in 1896 and reexamined in igoi. A preliminary report on it was published by the author in the Proceedings of the Amer. Medico- Psychological Assoc, 1899, and a full report in the American Anthropologist, n. s., 3, 1901. 8 Kishu was one of the six Eskimo who were brought to New York in 1896 by Lieutenant Peary, from the neighborhood of Smith sound. Of these six Eskimo, four, including Kishu, have since succumbed to acute tuberculosis ; one was sent back to Smith sound, and a boy of about twelve years survives, after having recovered from incipient pulmonary tuberculosis, in the care of Mr Wallace, the former Superintend- ent of the American Museum of Natural History. The brains of the three other Eskimo who died, as well as an additional specimen, — the brain of an Eskimo girl from Alaska, — will be reported upon in detail by Mr Edward A. Spitzka, of Columbia College. Some measurements and observations which I have made of these brains will be included, for comparison, in this paper. 3 4 AN ESKIMO BRAIN (Cephalic index 76.26.) Height (from line joining the aud. meati to bregma) about I4-2 cm. Circumference maximum of the head 56.8 cm. Diam. biauricular (between the depressions over the roots of zygomae, in front of the ear) 13-2 cm. Diam. frontal minimum 10.4 cm. Diam. bigonial 1 1 . 1 cm. Diam. bizygomatic max 14.5 cm. Height of face : chin to nasion 12.3 cm. chin to interciliary line 14.3 cm. chin to insertion of hair 20.0 cm. These measurements agree in the main with those which I made of the other Eskimo from the same locality, thus showing that Kishu was not racially exceptional. The scalp was found to be less than the average in thickness ; this was undoubtedly due to advanced general emaciation. The skull was entirely symmetrical ; the sutures mostly still pervious ; skull-cap thin. No adhesion of the dura ; the soft membranes normal. Several masses of Pacchionian granulations over the longitudinal sinus. No signs of tuberculosis,1 nor any other pathological lesion, within the cranial cavity. Very small quan- tity of fluid. There was a pronounced pigmentation of the pia and arachnoid from the pons to over and below the calamus scriptorius. Weight of brain, denuded of dura mater, after a few minutes' exposure for drain, 1503 grammes.2 The specimen was laid in 20 parts 5 % formaline and 80 parts 95 % alcohol. 1 The brain and the heart were about the only organs in which no tubercular lesions were found. 2 Mean weight of white male brain in 154 men of mean height of 1.680 m. equals 1361.5 grams (Broca) ; mean weight of white male brain in 168 men of mean height of 1.679 m- equals 1357.5 grams (Manouvrier). AN ESKIMO BRAIN 5 Examination of the Brain (Three weeks after death) Weight The brain and its principal parts, denuded of the membranes, weigh, after 15 minutes' drainage, as follows: Whole encephalon 1 325.0 gr. (Loss in three weeks through solution and through loss of membranes 178.0 gr.) Cerebrum 1 155.0 gr. or 87.17% of the total. Right hemisphere 577.0 gr. Left hemisphere 578.o gr. Cerebellum 142.0 gr. or 10.72 % of the total. Pons and bulb 2S.0 gr. or 2.1% of the total. The proportions of the cerebrum and cerebellum to the whole brain are very nearly like those of whites,1 but the relative weight of the pons and bulb is slightly greater. GENERAL OBSERVATIONS Cerebrum The hemispheres in general are very well developed. The gyration is pronounced and rather more complex than that found on the brains of average whites. The principal sulci are deep. The thickness <>f the gray matter shows no appreciable difference from that observed in the brains of whites. The gyra- tion of the left hemisphere is perceptibly more complex, particu- larly in the frontal lobes, than that of the right. A striking feature is the predominance on both hemispheres, but more espe- cially on the right, of vertical gyration. 1 In the white brain, the proportionate weight of the cerebellum, medulla, and pons together is to that of the whole brain in the adult as 13 to 87 (Huschke). The cerebellum is 10.7 of the lotal encephalon (Meynert). According to Broca, the rela- tive weights to that of the whole encephalon are: cerebrum, 87.3$ ; cerebellum, ro.6 %; pons and bulb, 1.91 %. As to the hemisphere, in 264 men Broca found the right to be the heavier in 138 cases, the left in 105 cases ; the weight was even in 21 cases. 6 AN ESKIMO BRAIN The hemispheres show certain gross and many small asym- metries. The principal of the gross asymmetries are the differ- ences in the limbic, temporo-sphenoidal, and occipital lobes. All these, as well as the minor peculiarities of the brain, will be described later. Norma Superior. — Viewed from above, the cerebrum is dis- tinctly hexagonal in its outline. The longest sides of the hexagon are the antero-lateral lines, upon which follow, in the order named, the anterior, the postero-lateral, and the posterior lines. The outline of the frontal lobes is quite angular. The Norma Lateralis, or the outline of the cerebrum when looked at from the side, is obliquely quadrilateral. The antero- inferior line (base of the frontal with the antero-inferior boundary of the temporal lobes), and the postero-inferior boundary (base of temporal and occipital lobes), are nearly straight. The two superior lines, moderately convex, meet over the precuneus. The right temporal lobe is perceptibly higher than the left. There are a few specially prominent points on the external surface of each hemisphere : on the left such points are the supramarginal and the second temporal gyri ; on the right, the supramarginal (somewhat less than on left), second temporal, and ascending parietal convolutions. Norma Ventralis, or the outline of the base of the hemi- spheres, is oval, almost square anteriorly and tapering posteriorly. The basal surface of the frontal lobes slopes toward the middle and there is a marked elevation on each frontal lobe along the median fissure. These elevations are somewhat larger than those found ordinarily in the brains of whites. The olfactory nerves run along their middle. Each of the elevations comprises ap- proximately two-sevenths of the base of each frontal lobe, and they, together with the sloping of the rest of the basal surfaces, impart to the inferior portion of the approximated frontal lobes a boat-keel-like appearance. Norma Anterior.— The outline of the anterior lobes forms AN ESKIMO BRAIN J superiorly and laterally a regular arch, while inferiorly it consists of two shallow arches (concavities of the inferior surface of the frontal lobes), which meet over the median eminence. The outer terminal points of the arches are, as usual, situated higher than the inner ones. The anterior surface of the frontal lobes is almost vertical. Principal Measurements of the Cerebrum ' Length maximum of left hemisphere 18.0 cm. Length maximum of right hemisphere 17.9 cm. Width maximum of cerebrum 13.6 cm.3 As to the parts situated at the base of the cerebrum, nothing unusual was found. The anterior perforated spaces are not appreciably larger than in whites. The optic commissure is well formed ; the optic nerves are strong. Hypophysis of ordinary size and appearance. Crura cerebri, cut at the niveau of the mesial border of the hippocampal gyri, are exactly equal in size. Their cross-section measures on each side 2.8 cm. in greatest length and 1.7 cm. in greatest width. There were no marked anomalies in the cerebral circulation. The ventricles were not opened. External Conformation of the Hemispheres principal sinuosities. fissure of sylvius The horizontal and ascending, or, more properly in this case, the anterior and posterior, branches of the pre 'sylvian begin sepa- rately, from the superior limiting sulcus of the insula on the right, and from a common fovea, connecting with that sulcus, on the left side.3 The anterior branch is in line with, and appears like a continuation of, the anterior limiting sulcus of the insula. 1 For additional and comparative measurements, see the end of the paper. * By an oversight this measure was given in the preliminary report as 14.2 cm., which was incorrect. 3 This, according to Cunningham, is also frequently the case in whites. In 80 hemispheres examined by that author, two separate limbs of the presylvian were found 15 times (32.6 %) on the right and 15 times (44.1 %) on the left side. 8 AN ESKIMO BRAIN Length of the anterior branch, 1., 2.8 cm., r., 2.6 cm. Length of the posterior branch, 1., 1.2 cm., r., 2.0 cm. On the left the posterior branch is very short, and on both sides the anterior branch is the longer (the reverse of that gen- erally found in white people). The anterior branch connects on the right, over a submerged but not deep gyrus, with a descending branch from the inferior frontal sulcus. The several important opercula situated along the lower border of the hemispheres in the neighborhood of these two an- terior branches of the Sylvian, differ somewhat in size and form. (See the description of the inferior frontal gyrus.) The stem or main limb of the Sylvian runs in a nearly straight line ; it measures, from the anterior branch of the pre- sylvian to the bifurcation, 6.5 cm. on the left and 5.2 cm. on the right hemisphere.1 The depth of the Sylvian fissure is considerable throughout. It measures : Left Right At the origin (x) of the anterior branches 3.0 cm. 3.1 cm. In middle between x and the precentral sulcus.. . . 2.9 cm. 2.6 cm. Opposite the precentral sulcus 2.8 cm. 2.7 cm. The anterior branch of the presylvian measures at middle, left, 2.4 cm. ; right, 2.2 cm. Of the terminal branches of the Sylvian, the superior measures, left, 2.6 cm. ; right, 2.2 cm. The inferior measures, left, 1.8 cm. ; right, about 0.8 cm. in depth. The above figures show that, except at its beginning, the left Sylvian is the deeper at all points of measurement. The main limb of the Sylvian presents the following points of interest on the two sides of the brain : On the left, 0.5 cm. behind the posterior presylvian, there be- gins within the Sylvian, over a deep annectent loop, by means 1 The left fissure is longer than the right one in the whites* and the disproportion "is evident at all points of growth" (Cunningham, Contr. to the Surf. Anat. of the Cerebr. Hemispheres, 1892, p. 127 ; also Eberstaller). AN ESKIMO BRAIN 9 of the diagonal sulcus, a pronounced, long, composite, vertical furrow, which runs nearly parallel with the central fissure and the precentral sulci, and terminates above not far from the superior border of the hemisphere. The sulcus shows a number of medium deep and deep annectent fascicles. On the right a similar furrow begins from the Sylvian, over a submerged loop, 0.6 cm. posteriorly to the hinder branch of the presylvian, and ascends in a quite straight line to within a few millimeters of the superior frontal sulcus. This furrow, in aver- age as well as at maximum, is deeper than that on the left (maximum depth on the right, 1.7 cm.). A little over 1.0 cm. posteriorly to the last mentioned furrow there begin from the Sylvian, on both sides, over a loop situated very deeply on the right and at medium depth on the left, the central fissures. The base of the ascending frontal gyrus shows on each side a small trans-precentral, the base of the ascending parietal convolu- tion a similar trans-postcentral sulcus. These sulci on the right side are entirely hidden in the Sylvian, but on the left side both reach to and slightly beyond the inferior border of the convolutions. Finally, 0.5 cm. anterior to the bifurcation on the right and almost at it on the left, the Sylvian connects on each side, over a submerged but quite superficial gyrus, with the united postcentral sulcus. The inferior lip of the Sylvian shows on the left the extremi- ties of four, on the right of three, transtemporal depressions. One of these furrows on the left and one on the right effect a shal- low communication with the superior temporal sulcus. Of the terminal branches of the Sylvian the superior is 2.4 cm. in length on the left, and 2.6 cm. on the right side ; they both end, as usual, in the supramarginal gyrus. The inferior ramus on the left runs 3.0 cm. horizontally and bifurcates ; one of its branches, 2.5 cm. long, passes upward into the angular gyrus, while the other, 1.0 cm. long, descends backward. On the right 10 AN ESKIMO BRAIN the inferior terminal branch runs 1.5 cm. backward and down- ward and joins, over a deep gyrus, the first temporal sulcus. The superior terminal branch on the left makes two connec- tions : one, shallow, posteriorly, with a sulcus running downward and forward from the interparietal, and one, deeper, anteriorly, with a horizontal furrow running backward from the lower part of the postcentral sulcus. The inferior branch on the left con- nects, not far from the bifurcation, over a submerged annectent gyrus, with the posterior portion of the first temporal sulcus. On the right side the superior terminal branch of the Sylvian fissure is better developed than the inferior, and is deeper than the latter. It ascends for 2.0 cm. into the supramarginal gyrus, running parallel to the central fissure, and ends in a short T. The lower terminal branch descends for 1.3 cm., over two medium deep anastomotic fascicles, and joins the ascending ramus of the first temporal sulcus. Annectent Gyri. — On the left a strong column, at medium depth, between parietal and temporal lobes, at the beginning of the lower terminal branch of the Sylvian. On the right a similar but more superficial column, at the beginning of the inferior branch, and another more posteriorly in the same. CENTRAL FISSURE Left Right Length (in a straight line, with sliding compass) 9.0 cm. (50 $ of the total 8.6 cm. (48