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Edgar F. Fincher, Bronson S. Ray, Harold J. Stewart, Edgar F. Fincher, T. C. Erickson, L. W. Paul, Franc D. Ingraham, Orville T. Bailey, Frank E. Nulsen, James W. Watts, Walter Freeman, C. G. de Gutiérrez-Mahoney, Frank Turnbull, Carl F. List, William J. German, A. Earl Walker, J. Grafton Love, Francis C. Grant, I. M. Tarlov, Thomas I. Hoen and Rupert B. Raney

the orthopedist, in cases with lumbar scoliosis or a definitely unstable lumbo-sacral joint in which a disc has just been removed. This, however, actually amounts to the occasional case only. We have operated on patients with all of the symptoms and signs of a ruptured disc only to find no such lesion present. In such cases we have sometimes, as Dr. Putnam mentioned, divided extradurally about half the sensory root affected with the idea that perhaps the root was actually being compressed peripherally at the foramen. It is our impression that such patients have

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Olan R. Hyndman and William F. Gerber

touch, pain and temperature discrimination; some loss of sense of position and two-point discrimination, and in some cases a loss of bowel and bladder control. A spinal puncture below the lesion reveals a marked increase in protein in the spinal fluid and a partial or complete block when the Queckenstedt test is performed. Roentgenogram . The roentgenogram of the dorsal spine is of special interest because it has consistently revealed a kyphosis or scoliosis. Cloward and Bucy 2 pointed out this association of kyphosis with the cyst and believed the deformity to

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Eugene E. Cliffton and John R. Rydell

inflamed. Examination He was a well-developed young man, who did not appear ill. There was an obvious dermal sinus, with a small tuft of protruding hair, in the midline at the level of the 2nd sacral vertebra, higher than the usual pilonidal sinus. There were no signs of inflammation in this area. The patient stood with a slight scoliosis convex to the left, and placed more of the body weight on the left leg than he did on the right. Forward bending was limited to about 40° so that the finger tips failed to touch the floor by 24 in. Motions of the spine in other

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Homer S. Swanson and Edgar F. Fincher

deformities of the spine previously mentioned, namely, kyphosis and scoliosis. It did, however, destroy the laminal arches in a characteristic manner that might allow an accurate radiologic pre-operative diagnosis. SUMMARY That acquired or traumatic extradural arachnoid cysts may occur and be productive of clinical manifestations is demonstrated by this report. Although this complication must occur rarely, it should be seriously considered in those cases in which a laminectomy has previously been performed and in which there is a failure of symptoms to totally

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Daniel Oscherwitz and Leo M. Davidoff

vomiting, syncope, or convulsions, and were not affected by change in position. During the past 3 to 4 months, she complained of intermittent blurring of vision but could otherwise read newsprint without glasses and had no diplopia. She had become increasingly nervous and apprehensive shortly before being admitted to the hospital. Her past history was essentially negative. Physical Examination The positive findings included a soft blowing systolic mitral murmur, and slight scoliosis to the right in the mid-thoracic region. Neurological examination was entirely

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Joseph A. Epstein, Aaron J. Beller and Ira Cohen

of lower dorsal vertebrae and scoliosis of upper dorsal spine to the left. A cisternal myelogram, using 3 cc. of pantopaque, revealed moderate delay in passage of the column of oil at level of 5th cervical interspace. Here it broke up and slowly trickled downwards scattering throughout the lower levels, remaining suspended in particulate and curvilinear fashion in upper dorsal regions ( Fig. 3 ). The findings were suggestive of an arachnoiditis or a vascular anomaly. Fig. 3. Myelogram (Case 2) of the cervicodorsal region showing the scattered droplets of

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Henry G. Decker and Kenneth E. Livingston

movement was not elicited. There was an area of complete anesthesia over the anterior right thigh in the 2nd and 3rd lumbar dermatomes. There was slight quadriceps atrophy and weakness of extension at the knee. The right knee jerk could not be elicited. Blood Hinton and Wassermann tests were negative. Roentgenograms of the spine showed some reaction about the sacro-iliac joint, more marked on the left. The articular facets at the lumbosacral joint were asymmetrical, with slight scoliosis convex to the left. On Oct. 27, 1947, pantopaque myelography was carried out

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Duplication of the Spinal Cord (Diplomyelia)

An Account of a Clinical Example with a Consideration of other Reports

Wilfred Pickles

the bony partition. In the area where the dural tubes were doubled, there was a dentate ligament from the medial aspect of each cord. The pathological findings in the cords were similar to those which they had previously described. Marr and Uihlein, 5 in 1944, reported operating on a 12-year-old girl with upper thoracic scoliosis and kyphosis, club feet, and spastic gait. The left lower extremity was hypersensitive to cold, and there was numbness of the left great toe. The left leg was weak, the toes on this side could not be dorsiflexed, and there was some

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Glen O. Cross, James R. Reavis and William W. Saunders

-sized soft subcutaneous neurofibromata. There were numerous café au lait spots over the trunk and extremities and a large, black, seed-bed lesion paravertebrally at T9 on the right ( Figs. 1 and 2 ). There was moderate kyphosis of the thoracolumbar spine, most prominent between T11 and L2, which was associated with a right convex scoliosis. The lumbar spine, hips, knees and ankles had a full range of painless motion. Forward bending while sitting caused an increase in the girdle pain while hyperextension relieved it. Scoliosis was increased on forward bending. It was

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John R. Russell and Paul C. Bucy

long duration, and there was an associated scoliosis. This case has been briefly reported by Bucy and Heimburger. 4 CASE REPORT History . A. LeC., a white male railway clerk, aged 31, was referred by Dr. Harry Hodges and admitted to the Chicago Memorial Hospital on May 11, 1948. In 1932, at the age of 15 years, the patient was in an automobile accident, but sustained no injury that was apparent at the time. One month later he noticed protrusion of one of the lower left ribs, and was told that it was fractured. Two years after the accident “twitching movements