. The Journal of nervous and mental disease . of ale,he had fallen down stairs, and was immediately rendered un-conscious, remaining so for about twelve hours. Y\hen herecovered consciousness it wras found that the legs and armswere paralyzed. Examination September 12, about 36 hoursafter the receipt of the injury, showed a well-developed man, 1 From the Neuropathological Laboratory of the University of Penn-sylvania and from the Philadelphia General Hospital. Read before thePhiladelphia Neurological Society, Dec. 27, 1904. 36° CHAS. S. POTTS who answered questions intelligently and stated not
. The Journal of nervous and mental disease . of ale,he had fallen down stairs, and was immediately rendered un-conscious, remaining so for about twelve hours. Y\hen herecovered consciousness it wras found that the legs and armswere paralyzed. Examination September 12, about 36 hoursafter the receipt of the injury, showed a well-developed man, 1 From the Neuropathological Laboratory of the University of Penn-sylvania and from the Philadelphia General Hospital. Read before thePhiladelphia Neurological Society, Dec. 27, 1904. 36° CHAS. S. POTTS who answered questions intelligently and stated nothing ofnote concerning his previous or family history. The tempera-ture, pulse and respiration were normal. He lay in bed on hisback with the arms elevated about 15 degrees from the body,the forearms flexed on the arm and somewhat supinated, andthe fingers flexed. The pupils were equal and responded to light and accom-modation. There was no paralysis of any of the cranial could elevate each arm to a right angle with the trunk, and. ,*t A***^ FlG. I. Fig. 2. they could be rotated. Flexion of both forearms could beperformed, but not with normal strength, the forearms couldbe slightly supinated. The abdomen was somewhat distend-ed. The legs were completely paralyzed. No atrophy was no-ticed. Electrical reactions were not taken. The muscles wereflaccid. The cilio-spinal reflex was present on both sides, thebiceps jerk was present and active on both sides, the triceps,wrist, knee and Achilles tendon jerks were absent, there was TRAUMATIC CERVICAL HEM ATOMY ELI A 361 an active cremaster reflex, and when the soles of the feet werestroked there was slight flexion of the toes. Retention of urineand constipation were present and at times there was slightpriapism. The distribution of the sensory paralysis (tactile, pain andtemperature) was as is indicated in Figs. 1 and 2. The patient complained of pain in the back of the neck, andthere was some tenderness in the lower cervical
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