A case of intradural spinal cyst, with operation and recovery / by W.G. Spiller, J.H. Musser and Edward Martin ; with a brief report of eleven cases of tumor of the spinal cord or spinal column, by William G. Spiller.

  • Spiller, William G. (William Gibson), 1863-1940.
Date:
1903
Catalogue details

Licence: In copyright

Credit: A case of intradural spinal cyst, with operation and recovery / by W.G. Spiller, J.H. Musser and Edward Martin ; with a brief report of eleven cases of tumor of the spinal cord or spinal column, by William G. Spiller. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    breathing was not interfered with, since sandbags were placed under the shoulders and beneath the bony pelvis, thus supporting the weight on these parts of the body and preventing the abdominal viscera from being thrust up against the diaphragm. This, I believe, an important matter. Free dia- phragmatic motion should also be secured in these spinal operations. Notes made on July 10th are as follows : Miss A. B. had no pain in the left lower limb after the operation until July 5th, but during this period she had pain at the end of the spine and in the rectum. This was supposed to be from the opera- tion. The numbness in the left foot began to lessen four or five days ago, but is still present. On July 5th she began to have attacks of severe pain, con- fined to the anterior part of each thigh and exactly in the middle of each thigh; in the right limb this pain extends as far as the foot; in the left limb the pain extends only as far as the knee. She began at the same time to have severe headache on the left side only, the pain beginning in the neck and shooting up into the head. Patellar reflex and Achilles-jerk are not obtained on either side. Resistance to passive movements in the flexor muscles of each thigh is not very great. On July 14th the patellar reflex was obtained on the right side, but not on the left. By July 26th the numbness in the left foot had become much less than it was before the operation. She still had some pain in the front of the left thigh. Resistance to passive movements was some- what diminished in the left lower limb, but was normal in the right lower limb. The bowels and bladder were in good condition. *