AMAarchives of neurology & psychiatry . I. Pain In both arms-10 months. II. Stumbled in walicln^-6 months. III. Spasticity and Tumor Involved segment T 3. Fig. 15.—Chronologic sequence of symptoms with diagram, showing relationcf tumor to the cord. was absent in the region of the sixth thoracic spine. Pain and tactile sensa-tions were diminished in the same area and slow of recognition. There wasdifficulty in starting urination but she voided freely; she was never catheterized;there was no incontinence. She was constipated; there was no bowel incon-tinence. The pupillary reflexes
AMAarchives of neurology & psychiatry . I. Pain In both arms-10 months. II. Stumbled in walicln^-6 months. III. Spasticity and Tumor Involved segment T 3. Fig. 15.—Chronologic sequence of symptoms with diagram, showing relationcf tumor to the cord. was absent in the region of the sixth thoracic spine. Pain and tactile sensa-tions were diminished in the same area and slow of recognition. There wasdifficulty in starting urination but she voided freely; she was never catheterized;there was no incontinence. She was constipated; there was no bowel incon-tinence. The pupillary reflexes were normal. There had been very littlechange in the last three months except that she became somewhat less spastic(Fig. 15). 482 AkCIIIlliS OF XIUKOLOCV AXD PSYCHIATRY Exaviination.—The patient was a small, poorly developed, and somewhatundernourished white female. There was a small decubitus in the sacral regioncovered by a scab. Mentally, she was keenly alert. She lay in bed bolsteredup with pillows, with legs partially flexed and drawn up. She moved the upperextremities readily. She could not stand or walk. Results of examina
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