0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA 100 Years Ago | February 15, 1913|

THE CENTRAL NERVOUS SYSTEM AND HEAT REGULATION

JAMA. 2013;309(7):641. doi:10.1001/jama.2012.174768.
Text Size: A A A
Published online

Extract

February 15, 1913

There seems at present to be no escape from the conclusion that the temperature regulation of the body is under the dominance of some mechanism connected with the central nervous system. Physiologists are still somewhat divided in their acceptance of the existence of a special cerebral heat-regulating apparatus composed of heat centers and heat nerves. Conservatism in regard to the actual location of a heat center in the brain is assuredly justified; for the evidence of any narrow circumscribed anatomic area devoted to thermoregulatory functions is far from convincing. On the other hand, there can be little hesitation in admitting that in the physiologic sense some coordinating mechanism or “center” controls the various heat-producing and heat-dissipating devices of the body so that the vasomotor responses of the skin, the sweat-secreting glands, the chemical combustion processes in the muscles and the respiratory factors all work in harmony to effect a single result: temperature equilibrium. After destruction of the brain all of this splendid adjustment is lost. Furthermore, in certain diseases of the central nervous system unattended with infectious agents and their toxic products or with muscular manifestations such as convulsions, a rise in temperature is observed. Brain tumors may lead to such symptoms.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();