. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). Fig. I. Photograph of a section from the fourth lumbar segment. Tliehole in the anterior column indicates the right Fig. 2. Photograph of a section from the third lumbar segment. Thehole in the anterior column indicates the right side. SACRAL TABES i97 lancinating pains and Argyll-Robertson pupils, the left patellartendon reflex was lost, while the right patellar tendon reflex wasobtainable only by reinforcement. There was no ataxia or Rom-berg. He speaks of it as a case of incipient tabes,
. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). Fig. I. Photograph of a section from the fourth lumbar segment. Tliehole in the anterior column indicates the right Fig. 2. Photograph of a section from the third lumbar segment. Thehole in the anterior column indicates the right side. SACRAL TABES i97 lancinating pains and Argyll-Robertson pupils, the left patellartendon reflex was lost, while the right patellar tendon reflex wasobtainable only by reinforcement. There was no ataxia or Rom-berg. He speaks of it as a case of incipient tabes, in which thedisease began in the lower spinal segments. Redlich- describes in his monograph on tabes a case of tabesdementia paralytica in which the preservation of the patellartendon reflexes was noted, together with loss of Achilles tendonreflex. The tabetic changes were found in the lower lumbarand sacral segments. In the upper sacral and lower lumbar seg-ments the picture was that of an incipient process, while thelower sacral segments showed scarcely any changes. In my casean incipient process was not to be considered in as much as thedegeneration throughout the sacral segments was so extensive. In Picks ca
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