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F. W. Epley
JAMA. 1884;III(10):278-279. doi:10.1001/jama.1884.02390590026013.
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On the 22d of April, 1884, I delivered Mrs. C. of a female child weighing 10½ lbs. The child was well-formed, symmetrical and very well nourished. At about the third dorsal vertebra a spina bifida presented itself about the size of a pullet's egg. The tumor was pear-shaped, and with a pedicle about an inch in diameter. The fundus was somewhat corrugated and purple. It appeared to contain a small quantity of fluid. There was a distinct opening in the vertebra at the attachment of the tumor, corresponding in size to an ordinary lead pencil. The child was very fretful and cried constantly and piteously when laid upon its back. It was much more comfortable when held upright than when in any other position. Any manipulation of the tumor caused the child to cry. When it was three weeks old I made a critical examination which thoroughly satisfied me


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