A treatise on the diseases of the nervous system . ry well the effect of the diseasein the legs, but the atrophy of the thighs is distinctly indicated. Two cases which I had regardedl as instances of antero-lateralspinal sclerosis were very probably examples of inflammation of theanterior tract of gray matter. In one of these, a gentleman whom Ifirst saw in consultation with my friend Dr. Walter F. Atlee, of Phila-delphia, and who was, subsequently, for a long time under my imme-diate charge, the lesion was in the beginning confined to the verylowest part of the spinal cord. Gradually the dise
A treatise on the diseases of the nervous system . ry well the effect of the diseasein the legs, but the atrophy of the thighs is distinctly indicated. Two cases which I had regardedl as instances of antero-lateralspinal sclerosis were very probably examples of inflammation of theanterior tract of gray matter. In one of these, a gentleman whom Ifirst saw in consultation with my friend Dr. Walter F. Atlee, of Phila-delphia, and who was, subsequently, for a long time under my imme-diate charge, the lesion was in the beginning confined to the verylowest part of the spinal cord. Gradually the disease extended upward 1 A Treatise on Diseases of the Nervous System, New York, 1871—and subsequenteditions, pp. 475, 476. SPINAL PARALYSIS OF ADULTS. 493 until at last, after three years, the muscles of respiration and of deglu-tition became implicated, and death took place. But for several monthsbefore this the patient was unable to use either legs or arms, or even tosit up. At no time, however, was the bladder deranged in any respect, Fig. and at no time were there pains or spasmodic action of the cutaneous sensibility was scarcely affected, and the atrophy, thoughextensivej was not profound, and did not strike me at the time asbeing very active in character. The other case was that of a distinguished legal gentleman of NewOrleans, sent to me by my friend Dr. Cabell, of the University of Vir-ginia. There was a gradual extension of the disease without any at-tendant pains, anaesthesia, or muscular contractions, except to a slightextent at first. In this instance also the bladder and rectum case resisted all treatment. The patient finally went abroad, anddied soon afterward in London. The atrophy was not a prominentfeature. In another case, that of a gentleman from New Jersey, there was asimilar condition of paralysis, involving, however, only one lateral halfof the body, and beginning in the leg. In this case the atrophy was of 494 DISEASES OF TH
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