The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . first and second, in the spinal canal, bruising and pressingupon the spinal cord.^ The condition of the spinal membranes does not appear to have been notedat the autopsy. Nevertheless, the symptoms which characterized this case,e. ^.,the intense rachialgia, the extreme degree of restlessness, and the tetanicspasms, are symptoms which often present themselves in cases of idiopathic,as well as in cases of epidemic, spinal meningitis ; and, no doubt, there wastraumatic spinal meningitis of an
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . first and second, in the spinal canal, bruising and pressingupon the spinal cord.^ The condition of the spinal membranes does not appear to have been notedat the autopsy. Nevertheless, the symptoms which characterized this case,e. ^.,the intense rachialgia, the extreme degree of restlessness, and the tetanicspasms, are symptoms which often present themselves in cases of idiopathic,as well as in cases of epidemic, spinal meningitis ; and, no doubt, there wastraumatic spinal meningitis of an acute cliaraeter in this case. The patientsurvived the onset of the acute symptoms, less than two days. It also aj»-pears that chloroform was administered continuouslj^ for several hours beforedeath occurred. AVas the proximate cause of death the disease, or the chlo- Mumoire posthiime. Archives G6n. de Medoeine, etc., Aout, 1836, p. 397 ; Brown-SequardshtcturtS on the Central N<tvous t<ysteni, ji. 251,* Medical and riurgical History of the War of the Rebellion, First Surgical Volume, p. Showinsr gunshot fracture of thespinous i>roce8S of the second lum-bar vertebra, with the missile im-pacted between the laminje of thefirst and second. (Spec. 611, Sect. I,A. M. M.) GUNSHOT INJURIES OF THE VERTEBRiE. 783 roforni which was administered in order to relieve the symptoms? In sixadditionul cases of gunsliot injury of tlie vcrteljral column, during the latecivil war,analogous symptoms were reported; and it ap[)ears that these caseswere all fatal. Another bad prognostic in gunshot injuries of the spinal colunm is theoccurrence of bed-sores^ especially when they arise from the trophic disorderof the tissues which results from lesions of the spinal cord. A still more evil portent in such cases is the appearance of metastaticabscesses, especially when they spring from the septicaemia tliat results fromsuppurative intlammation of the cancellated tissue (osteo-myelitis) of
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