Annals of surgery . wenty-two years of age, a healthy,athletic young man, after diving into shallow water, July 4, 1905Jbecame semi-unconscious and devoid of power over his arms andlegs. A masseur, who was present when he was removed fromthe water, asserted that when he then examined him there was adislocation of the spine in the cervical region which he reducedon the spot by manipulation. Four hours later he was receivedat the Buffalo General Hospital, in the following described con-dition : There exists total paralysis of both legs; the arms and handsare partially paralyzed. Speech, eyes, pu
Annals of surgery . wenty-two years of age, a healthy,athletic young man, after diving into shallow water, July 4, 1905Jbecame semi-unconscious and devoid of power over his arms andlegs. A masseur, who was present when he was removed fromthe water, asserted that when he then examined him there was adislocation of the spine in the cervical region which he reducedon the spot by manipulation. Four hours later he was receivedat the Buffalo General Hospital, in the following described con-dition : There exists total paralysis of both legs; the arms and handsare partially paralyzed. Speech, eyes, pupils and facial musclesare not affected; the head is slightly retracted, but moves in alldirections, with some pain, however. A careful examination ofthe spinal column does not reveal any fractures or is some tenderness about the spinous process of the fifthcervical vertebra, also some indefinite pain about the third thoracic * Read before the American Neurological Association, June 5, 641. Fig. I.—Area of total paralysis of sensation. DISLOCATION OF CERVICAL VERTEBRA. 643 spine. The pulse is slow, but full, regular and of good heart is normal; no temperature. The patellar, ankle and plantar reflexes are absent. Markedpriapism is present; catheterization is necessary. The patient isable to flex the arms but not to extend them. He was trans-ferred to the surgical ward, in charge of Dr. William C. Phelps,with whom I saw him on the following day, July 5, 1905. Examination shows him to be a man five feet eight inches inheight, weighing 150 pounds; muscles well developed; offeringno scars, contusions or discolorations of any kind on his head orbody. There is absolute loss of motion of the trunk and legs;limited motion of the arms, and rather free motion of the head,but attended with pain. He lies with head somewhat retractedbecause of relief from an aching pain when the head is he lies on his back, the respiration attracts attention
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
