Diseases of the nervous system .. . the cord as well as the nervesof the cauda are often simultaneously affected by the injury or the Schultze describes another important point: Whether we are dealing withdisease of the conus or cauda the diagnosis in the given case depends not onlyupon the height of the vertebra injured, but also upon the transverse distribu-tion of the original disturbance. In a lesion of the lower portion of the lum-bar enlargement without implication of the caudal roots, a paralysis mayappear which implicates only the sciatic distribution (seat of the lesion at


Diseases of the nervous system .. . the cord as well as the nervesof the cauda are often simultaneously affected by the injury or the Schultze describes another important point: Whether we are dealing withdisease of the conus or cauda the diagnosis in the given case depends not onlyupon the height of the vertebra injured, but also upon the transverse distribu-tion of the original disturbance. In a lesion of the lower portion of the lum-bar enlargement without implication of the caudal roots, a paralysis mayappear which implicates only the sciatic distribution (seat of the lesion at the PARALYSIS IN THE PUDENDIC AND COCCYGEAL PLEXUSES 39 height of the twelfth thoracic and first lumbar vertebra) ; on the other hand,with a transverse lesion at the height of the second lumbar vertebra (forexample, from tumors which fill the vertebral canal), there may be completemotor and sensory paralysis of all the nerve tracts of the lower extremities,so far as the roots of the crural and obturator nerves are here


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