Search Results

You are looking at 1 - 10 of 1,667 items for :

  • "thoracic spine" x
Clear All
Restricted access

James C. White and Robert W. Gentry

corresponding vertebral bodies. Fig. 4 illustrates a frequent cause of failure to block the important first thoracic ganglion. Due to the moderate kyphosis of the upper thoracic spine, the operator tends to insert the upper two needles in an increasingly caudal direction and, because 7 to 8 cm. of the 10 cm. needle lies hidden beneath the skin, it is hard to realize that the tip of the first may actually be placed caudal to the second. In this case no alcohol will reach the first thoracic ganglion, and the relief of angina pectoris will often be incomplete. We believe that

Restricted access

Donald D. Matson

incomplete one. An accurate knowledge of the segmental level of muscle innervation is, of course, essential. In incomplete or suspected incomplete lesions, repeated neurological examination by the same examiner at frequent intervals together with consideration of the X-ray findings will determine disposition. An incomplete lesion of the cord proper (cervical and thoracic spine) will not be confused with a complete but asymmetrical lesion of the cauda equina (lumbar and sacral spine) if it is remembered that the conus medullaris lies opposite D-12 and L-1. That is, there

Restricted access

James L. Pool and Oscar A. Turner

early in 1943, after which he was unconscious for about 10 minutes. The only residual symptoms were occasional mild dizziness and slight blurring of vision on reading. Operations: Herniorrhaphy, inguinal, spinal anesthesia, July 1943. Family History No known mental or nervous diseases. Course of Present Illness In February 1945 the patient awoke one morning unable to turn in bed because of pain in the lower thoracic spine, accompanied by numbness and weakness of the legs. The back pain was accentuated by attempting to turn, and was accompanied by the

Restricted access

J. Jay Keegan

pain in his left shoulder. He had noticed some “wasting” or atrophy of the small muscles of this hand and was as much concerned about this evidence of motor paralysis as he was of the intolerable pain of 2 weeks' duration. Examination by light pin scratch outlined a very definite strip of faintly reduced sensation extending from the little and ring fingers up the ulnar side of the hand and wrist along the posteromedial arm to the posterior shoulder and midscapular region to the junction of cervical and thoracic spine ( Fig. 8 ). A similar but slightly larger

Restricted access

Paul C. Bucy and Hardin Ritchey

testicle. X-ray examination of the cervical and upper thoracic spine revealed a solid fusion of the posterior articulations of the 2nd, 3rd, 4th and 5th cervical vertebrae. The bodies of these vertebrae were small and fused into a solid mass. The spinal canal between the fused laminae and the posterior surfaces of the vertebral bodies was unusually deep. The 6th and 7th cervical vertebrae and the first 5 thoracic vertebrae were fused into a similar long solid mass. There was an irregular joint between these two long masses of bone which formed the vertebral column in

Restricted access

Studies upon Spinal Cord Injuries

II. The Nature and Treatment of Pain

Loyal Davis and John Martin

military patients. As would be expected, the long thoracic spine shows a high incidence of wounds by gun shot or shell fragment. Open wounds of the uppermost cervical cord were almost always fatal early. Of the 471 patients studied, 126 complained of pain so severe as to require the consideration of active steps to be taken for its relief. Of these patients, the cervical spinal cord was injured in 8; the thoracic portion of the cord in 73, and the lumbar cord and cauda equina in 45. It should be pointed out at once that these facts are in disagreement with the

Restricted access

Arthur Ecker

Operations on the occipital region, cerebellum, cervical spine, or upper thoracic spine are most advantageously carried out with the patient sitting upright. 1, 2 In this posture, blood and spinal fluid run away from the site of operation. Fig. 1 illustrates how standard equipment can be utilized to obtain the sitting position for such operations. What is normally the foot support of the table is bent at an angle of 90°, and supports the patient's back. It is retained in place on each side by a diagonal piece of wire or metal, which is attached to the bolts

Restricted access

Meningeal Meningiomatosis

Report of Case

Alfred Uihlein, Edward M. Gates and Robert G. Fisher

primary growth. No evidence of metastatic lesions could be found anywhere outside of the central nervous system. The brain and spinal cord weighed 1,175 gm. ( Fig. 1 ). There was a well-healed scar, 8 cm. long, over the spinous processes in the midline extending from the level of the 9th thoracic spine to the level of the 1st sacral vertebra. A small right occipital trephine opening where a ventricular catheter had previously been in place was noted. The calvarium over its entire extent was unusually thin. Fig. 1. a . Gross appearance of the brain and spinal

Restricted access

Ernest Sachs Jr. and Gilbert Horrax

F 5 mos. Der. & chol. L5 — Bifid thoracic spine 4. * Trachtenberg 1898 M 55 Epi. & der. C-Th-L — Mult. cholest. brain also 5. White & Fripp 1900 M 30 Der. T2-4 Died—2nd op. Also had Hodgkin's 6. * Ivanow 1903 ? Birth Der. All cord — Anencephalic monster. Intramed. tumor 7. Raymond 1904 M 32 Der. Mult. — Mult. fatty lesions cord. Not accepted by Craig 11 8. * Berkal 1906 F 27 Chol. Conus — Intramed. 9. * Harriehausen 1909 F 23 Der. L1

Restricted access

Arthur R. Elvidge and Maitland Baldwin

cerebrum, 2; generalized, 1. One case of adenocarcinoma in the right breast of a male metastasized to the pituitary. There were 3 cases of metastases from the thyroid, all to the thoracic spine (T3, T3 and T6–9 respectively). From the genito-urinary system secondary lesions were noted as follows: from the bladder (1 case) to the spine (T6–9); from the prostate (3 cases) to the cervical and to the thoracic spine respectively; from the cervix uteri to the lumbar and sacral vertebrae, at L3-4-5 and S1. (An adenocarcinoma of the uterus showed no clearly defined