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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    left side. It has been felt in the left lumbar region at a time when it was not felt in the right lumbar region, but never in the right lumbar region without being felt in the left lumbar region. No muscular atrophy or weakness of either lower limb has developed. The pain has never been felt in the right lower limb. Since last Janu- ary constipation has been pronounced, and the patient has not during this time been on a special diet or confined to bed. Sometimes, when the pain is severe in the left lower limb, the leg will give way if the patient is standing. The patellar reflex is exaggerated, and equally so on the two sides, but patellar clonus canuot be obtained on either side. The Achilles-jerk is present on each side, equal on the two sides, and about normal. Babin- ski’s reflex is not obtained on either side. Tactile sensation is normal in each lower limb. No bladder symptoms are present. No tenderness is felt on pressure over any of the nerves. The patient has noticed once or twice that pressure over the verte- bral column of the lumbar region caused a shooting pain in the back of the left thigh. Lasegue’s sign —i. e., pain in flexion of the thigh on the abdomen with the leg extended—seems to be present on each side. She came to the University Hospital June 26, 1902, and notes made at that date are as follows : Since the last examination, June 10th, the pain has become much more intense, and has on several occasions been felt in the right lower limb, in the anterior part of the thigh, and it did not extend below the kuee. She has not felt any pain in the posterior part of the right thigh. The pain has become intense in the right lumbar and sacral