. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). ed in 1901 withsymptoms of meningitis, but had recovered. On the morning ofDecember 23. 1905, he was lifting blocks of ice with the assist-ance of another man, each block weighing about 100 had lifted four pieces when about eight oclock A. M. he be-gan to have a sensation of coldness and pain between the shoul- Read at the Thirty-fifth Annual Meeting of the American Neuro-logical :sociation, May 27, 28 and 29, 1909. - Spiller, The Journal of Nervous and INIental Disease, DecemberT908.
. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). ed in 1901 withsymptoms of meningitis, but had recovered. On the morning ofDecember 23. 1905, he was lifting blocks of ice with the assist-ance of another man, each block weighing about 100 had lifted four pieces when about eight oclock A. M. he be-gan to have a sensation of coldness and pain between the shoul- Read at the Thirty-fifth Annual Meeting of the American Neuro-logical :sociation, May 27, 28 and 29, 1909. - Spiller, The Journal of Nervous and INIental Disease, DecemberT908. 601 6o2 WILLIAM G. SFILLER ders about fifteen minutes after lifting the last piece. The handsbegan to grow stiiT and he placed them under the spigot, allow-ing hot water to run over them. Ten or fifteen minutes later thelower limbs began to be numb and stiiT. He lost power in theupper limbs within a very short time. Notes made on December 26 state that he was totally paral-yzed in the right upper limb and had not a single movement ofhand, forearm, fingers or upper arm. The left forearm could. Fig. I. The man is not held up, the orderlys hands are barely touch-ing him. He is bearing full weight on his lower limbs. be on the arm, but could not be extended, and he power of elevation of the shoulder. The lower extremitieswere weak in all movements, but there was no pronounced palsy. THROMBOSIS OF SPINAL ARTERY 60;, Breathing was entirely diaphragmatic. Hypalgesia was notedbetween the nipples and clavicles and in the upper had retention of urine with overflow, and no control of thebowels. The patellar reflexes were preserved and the Babinskisign was not obtained. Notes made by me January 22, 1906, are as follows: Thevoluntary power in the lower limbs is not much diminished. Thepatellar reflex is prompt on each side. The lower limbs areemaciated to some extent. Babinskis reflex is slight on the rightside, but there is no movement of the big toe on the
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