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INJURIES OF THE SPINAL COLUMN, WITH AND WITHOUT FRACTURE AND DISLOCATION

EDWARD D. FISHER, M.D.
JAMA. 1912;LIX(17):1501-1502. doi:10.1001/jama.1912.04270100269001.
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In injuries of the spinal column the sensory disturbances are the most immediate indicative symptoms of either the possibility of operation or the probability of recovery after operation.

It is needless to speak of the minor symptoms that occur in total destruction of the spinal cord; most of the cases to which I refer are those of extensive lesions which present the classical picture of an absolute loss of sensation below the line of lesion, loss of motion, loss of reflexes and paralysis of the bladder and rectum. In cases presenting that class of symptoms with this clearly defined line of demarcation, it is probable that an intraspinal hemorrhage exists. Usually, however, when the sensory disturbance is irregular, when, for instance, there is loss of sensation on one side high up and on the other side lower down—an irregular line of disturbance of sensation—even when there

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