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May 1947

CONCUSSION OF THE SPINAL CORDReport of a Case with Radiculoneuritic Manifestations

Author Affiliations


From the Department of Neurology, George Washington University School of Medicine.

Arch NeurPsych. 1947;57(5):623-628. doi:10.1001/archneurpsyc.1947.02300280117007

THAT a transient abrogation of the functions of the spinal cord may follow direct or indirect trauma to the vertebral column has long been a clinically recognized phenomenon. The pathologic and pathophysiologic basis of concussion of the spinal cord has been the subject of much controversy and is still far from being definitely determined. Part of the confusion surrounding the subject has been due to a disagreement as to whether cases with demonstrable pathologic changes should be included with those of concussion of the spinal cord. Although most authors feel that they should, others (Marburg,1 Cavichia and Rosa2) maintain that in true concussion of the spinal cord observable changes are reversible or do not occur. Since the syndrome is characterized by evidence of neurologic damage at levels distant from the site of the original trauma, a comprehensive theory of the condition should consider a mechanism of diffusion or