. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). Fig. 1.—Photograph taken before the operation. Neither heelcould be placed upon the ground, and the toes of one foot were broughtwith great difficulty from behind the heel of the other foot. persistent ankle clonus, and Babinski reflex are presenton each side. Touch, pain, and temperature .sensationsare normal in each lower limb. The cremasteric reflex isprompt on each side. The sense of position is normalin each great toe. He has control over the bladder and rectum. He is unable to walk without s
. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). Fig. 1.—Photograph taken before the operation. Neither heelcould be placed upon the ground, and the toes of one foot were broughtwith great difficulty from behind the heel of the other foot. persistent ankle clonus, and Babinski reflex are presenton each side. Touch, pain, and temperature .sensationsare normal in each lower limb. The cremasteric reflex isprompt on each side. The sense of position is normalin each great toe. He has control over the bladder and rectum. He is unable to walk without support (canes)because of the extreme spasticity; the toes of one foot catchbehind the heel of the other foot in walking, and when heis standing still the heels do not touch the ground becauseof the spasticity of the calf muscles (Figs. 1 and 2).. Fig. 2.— taken before the operation. Neither heelcould be placed upon the ground, and the toes of one foot were broughtwith great difficulty from behind the heel of the other foot. I examined the patient again on September 28, 1909,after the operation. The notes of this examination areas follows: He has touch, pain, and temperature sensa- Description of operation, page 13. tions in the legs below the knees and in the back ofthe thighs, but has not touch and temperature sensationson the front of either thigh. On the front of the left thighhe feels pin pricks, but cannot feel it on the front of theright thigh. The patellar reflex is completely lost on each
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