. Medical and surgical reports. pine. Hyperalgesia and hypersesthesia over the left leg below the knee(the fourth lumbar and first and second sacral segments), hyperalgesia andhypersesthesia over the right thigh and right calf, involving the samesegments. Over the left thigh and the anterior portion of the right legthere was complete analgesia and anaesthesia. Thermoansesthesia waswell marked over the entire right thigh, the right calf and entire left sensory disturbances ceased abruptly at the level of the twelfth dorsalsegment. (See Chart 1.) SPINAL CORD SURGERY. 239 The clinical dia
. Medical and surgical reports. pine. Hyperalgesia and hypersesthesia over the left leg below the knee(the fourth lumbar and first and second sacral segments), hyperalgesia andhypersesthesia over the right thigh and right calf, involving the samesegments. Over the left thigh and the anterior portion of the right legthere was complete analgesia and anaesthesia. Thermoansesthesia waswell marked over the entire right thigh, the right calf and entire left sensory disturbances ceased abruptly at the level of the twelfth dorsalsegment. (See Chart 1.) SPINAL CORD SURGERY. 239 The clinical diagnosis was fracture and dislocation of the lower dorsalvertebrae with hsematomyelia. Operation.— (Dr. Crandon.) Four days after injury, laminectomy ofeleventh and twelfth dorsal and first lumbar vertebrae. The bodies ofthe vertebrae were found cracked and in some places broken into smallfragments. The spinal cord was bent considerably to the right and ante-riorly at an angle. The first lumbar roots were torn. The upper lumbar.
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