If we now remember that a considerable number of diseases are already known to be caused by the presence of living organisms in the body, and that these diseases may be transmitted from one organism to another in the form of germs, ought we not to conclude from the above-mentioned facts, that the symptoms are due to an unknown microbe which finds its nutritive medium in the nervous tissues, rather than to suppose that they are due to morphological changes, such as a modification of the histological or molecular structure of certain parts of the nervous system? At all events, it would be more difficult to understand the transmission of such a structural change, than the passage of a bacillus into the sperm- or germ-cell of the parent. There is no ascertained fact which supports the former assumption, but it is very probable that the transmission of syphilis, small-pox and tuberculosis[[220]] is to be explained by the latter method, although the bacilli have not yet been detected in the reproductive cells. Furthermore, this method of transmission has been rigidly proved in the case of the muscardine disease of the silkworm. At all events we can understand in this way how it happened that the offspring of artificially epileptic guinea-pigs were affected with various forms of nervous disease, a fact which would be quite unintelligible if we assume the occurrence of a true hereditary transmission of a morphological character, such as a pathological change in the structure of some nervous centre.
The manner in which artificial epilepsy becomes manifest after the operation, is also in favour of the explanation offered above. In the first place epilepsy does not result from any one single injury to the nervous system, but it may follow from a variety of different injuries. Brown-Séquard produced it by removing a portion of the grey matter of the brain, and by dividing the spinal cord, although the disease also resulted from a transverse section through half of the latter organ, or from the section of its anterior or posterior columns alone, or from simply puncturing its substance. The most striking effects appeared to follow when the spinal cord was injured in the region between the eighth dorsal and the second lumbar vertebrae, although the results were sometimes also produced by the injury of other parts. Epilepsy also followed the division of the sciatic nerve, the internal popliteal, and the posterior roots of all nerves which pass to the legs. The disease never appears at once, but only after the lapse of some days or weeks, and, according to Brown-Séquard, it is impossible to conclude that the disease will not follow the operation until after six or eight weeks have passed without an epileptic attack. Obersteiner did not witness in any case the first symptoms of the disease for several days after the division of the sciatic nerve. After the operation, sensibility decreases over a certain area on the head and neck, on the same side as the injury. If the animal be pinched in this region (which is called the epileptic area, ‘zone epileptogène’) it curves itself round towards the injured side, and violent scratching movements are made with the hind leg of the same side. After the lapse of several days or even weeks, these scratching movements which result from pinching in the above-mentioned area, form the beginning of a complete epileptic attack. Hence the changes immediately produced by the division of a nerve are obviously not the direct cause of epilepsy, but they only form the beginning of a pathological process which is conducted in a centripetal direction from the nerve to some centre which is apparently situated in the pons and medulla oblongata, although, according to others[[221]], it is placed in the cortex of the cerebrum. Nothnagel[[222]] considers that certain changes, the nature of which is still entirely unknown, but which may be histological or perhaps solely molecular in character, must be produced, leading to an increased irritability of the grey matter of the centres concerned.
Nothnagel thinks it possible or even probable that in those cases in which the division of nerves is followed by epilepsy, a neuritis ascendens—an inflammation passing along the nerves in a central direction—is the cause of the changes suggested by him in the epileptic centre. All our knowledge of bacteria and of the pathological processes induced by them, seems to indicate that such a neuritis ascendens, as is assumed by Nothnagel, would render important support to the hypothesis that the artificial epilepsy is due to infection. But when we further consider that the offspring of artificially epileptic animals may themselves become epileptic, although in most cases they suffer from a variety of other nervous diseases (in consequence of trophic paralysis), I hardly see how the facts can be rendered intelligible except by supposing that in these cases of what I may call traumatic epilepsy, we are dealing with an infectious disease caused by microbes which find their nutritive medium in the nervous tissues, and which bring about the transmission of the disease to the offspring by penetrating the ovum or the spermatozoon.
Obersteiner found that the offspring were more frequently diseased when the mother was epileptic, rather than the father. This is readily intelligible when we remember that the ovum contains an immensely larger amount of substance than the spermatozoon, and can therefore be more frequently infected by microbes and can contain a greater number of them.
Of course, I do not mean to assert that epilepsy always depends upon infection, or upon the presence of microbes in the nervous tissues. Westphal produced epilepsy in guinea-pigs by striking them once or twice sharply upon the head: the epileptic attack took place immediately and was afterwards repeated. It is obvious that the presence of microbes can have nothing to do with such an attack, but the shock alone must have caused morphological and functional changes in the centres of the pons and medulla oblongata, identical with those produced by microbes in the other cases. Nothnagel also distinctly expresses the opinion that epilepsy ‘does not depend upon one uniform and invariable histological change, but that the symptoms which constitute the disease may in all probability be caused by various anatomical alterations, provided that they take place in parts of the pons and medulla which are morphologically and physiologically equivalent[[223]].’ Just as a sensory nerve produces the sensation of pain under various stimuli, such as pressure, inflammation, infection with the poison of malaria, etc., so various stimuli might cause the nervous centres concerned to develope the convulsive attack which, together with its after-effects, we call epilepsy. In Westphal’s case, such a stimulus would be given by a powerful mechanical shock, in Brown-Séquard’s experiments, by the penetration of microbes.
However, quite apart from the question of the validity of this suggestion, we can form no conception as to the means by which an acquired morphological change in certain nerve-cells—a change which is not anatomical, and probably not even microscopical, but purely molecular in nature—can be possibly transferred to the germ-cells: for this ought to take place in such a manner as to produce in their minute molecular structure a change which, after fertilization and development into a new individual, would lead to the reproduction of the same epileptogenic molecular structure of the nervous elements in the grey centres of the pons and medulla oblongata as was acquired by the parent. How is it possible for all this to happen? What substance could cause such a change in the resulting offspring after having been transferred to the egg or sperm-cell? Perhaps Darwin’s gemmules may be suggested; but each gemmule represents a cell, while here we have to do with molecules or groups of molecules. We must therefore assume the existence of a special gemmule for each group of molecules, and thus the innumerable gemmules of Darwin’s theory must be imagined as increased by many millions. But if we suppose that the theory of pangenesis is right, and that the gemmules really circulate in the body, accompanied by other gemmules from the diseased parts of the brain, and that some of these latter pass into the germ-cells of the individual,—to what strange results would the further pursuit of this idea lead? What an incomprehensible number of gemmules must meet in a single sperm- or germ-cell, if each of them is to contain a representative of every molecule or group of molecules which has formed part of the body at each period of ontogeny. And yet such is the unavoidable consequence of the supposition that acquired molecular states of certain groups of cells can be transmitted to the offspring. This supposition could only be rendered intelligible by some theory of preformation[[224]], such as Darwin’s pangenesis; for the latter theory certainly belongs to this category. We must assume that each single part of the body at each developmental stage is, from the first, represented in the germ-cell as distinct particles of matter, which will reproduce each part of the body at its appropriate stage as their turn for development arrives.
I will only briefly indicate some of the inevitable contradictions in which we are involved by such a theory. One and the same part of the body must be represented in the germ- or sperm-cell by many groups of gemmules, each group corresponding to a different stage of development; for if each part gives off gemmules, which ultimately reproduce the part in the offspring, it is clear that special gemmules must be given off for each stage in the development of the part, in order to reproduce that identical stage. And Darwin quite logically accepts this conclusion in his provisional hypothesis of pangenesis. But the ontogeny of each part is in reality continuous, and is not composed of distinct and separate stages. We imagine these stages as existing in the continuous course of ontogeny; for here, as in all departments of nature, we make artificial divisions in order to render possible a general conception, and to gain fixed points in the continuous changes of form which have in reality occurred. Just as we distinguish a sequence of species in the course of phylogeny, although only a gradual transition, not traversed by sharp lines of demarcation, has taken place, so also we speak of the stages of ontogeny, although we can never point out where any stage ends and another begins. To imagine that each single stage of a part is present in the germ, as a distinct group of gemmules, seems to me to be a childish idea, comparable to the belief that the skull of the young St. Laurence exists at Madrid, while the adult skull is to be found in Rome.
We are necessarily driven to such conceptions if we assume that the transmission of acquired characters takes place. A theory of preformation alone affords the possibility of an explanation: an epigenetic theory is utterly unable to render any assistance in reaching an interpretation. According to the latter theory, the germ does not contain any preformed gemmules, but it possesses, as a whole, such a chemical and molecular constitution that under certain circumstances, a second stage is produced from it. For example, the two first segmentation spheres may be regarded as such a second stage; these again possess such a constitution that a certain third stage, and no other, can arise from them, forming the four first segmentation spheres. At each of these stages the spheres produced are peculiar to a distinct species and a distinct individual. From the third stage a fourth arises, and so on, until the embryo is developed, and still later the mature animal which can reproduce itself. No one of the parts of such an animal was originally present as distinct parts in the egg from which it was developed, however minute we may imagine these parts to be. If now an inherited peculiarity shows itself in any organ of the mature animal, this will be the consequence of the preceding developmental stages, and if we were able to investigate the molecular structure of all these stages as far back as the egg-cell, we should trace back to the latter some minute difference of molecular constitution which would distinguish it from any other egg-cell of the same species, and was destined to be the cause of the subsequent appearance of the peculiarity in the mature animal. It is only by the aid of some such hypothesis that we can conceive the cause of hereditary individual differences and the tendencies towards hereditary diseases. Hereditary epilepsy would be intelligible in this way, that is, when the disease is congenital and not due to the presence of microbes, as is presumably the case with artificially induced epilepsy.
The question now arises as to whether we can conceive the communication of such traumatic and therefore acquired epilepsy to the germ-cells. This is obviously impossible under the epigenetic theory of development described above. In what way can the germ-cells be affected by molecular or histological changes in the pons varolii and medulla oblongata? Even if we assume, for the sake of argument, that the central nervous system exercises trophic influences upon the germ-cells, and that such influences may consist of something more than variations in nutritive conditions, and may even include the power of altering the molecular constitution of the germ-plasm in spite of its usual stability; even if we concede these suppositions, how is it conceivable that the changes produced would be of the exact nature and in the exact direction necessary in order to confer upon the germ-plasm the molecular structure of the first ontogenetic stage of an epileptic individual? How can the last ontogenetic stage of the ganglion cells in the pons and medulla of such an individual, stamp upon the germ-plasm in the germ-cells of the same animal—not indeed the peculiar structure of the stage itself—but such a molecular constitution as will ensure the ultimate appearance of epilepsy in the offspring? The theory of epigenesis does not admit that the parts of the full-grown individual are contained in the germ as preformed material particles, and therefore this theory cannot allow that anything is added to the germ-plasm; but in accepting the above-made supposition, we are compelled to assume that the molecular structure of the whole of the germ-plasm is changed to a slight extent.
Nägeli is quite right in maintaining that the solid protoplasm alone, as opposed to the fluid part, i.e. that part of the protoplasm which has passed into solution, can act as the bearer of hereditary tendencies. This appears to be undoubtedly proved by the fact that the amount of material provided by the male parent for the development of an embryo is in almost all animals far smaller than the amount provided by the female parent.