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May 1950

PERCEPTION OF GONADAL PAIN IN PARAPLEGIC PATIENTS

Author Affiliations

VAN NUYS, CALIF.

From the Paraplegic Service, Birmingham Veterans Administration Hospital, Van Nuys, Calif., and the Department of Surgery, University of California Medical School at Los Angeles.

Arch NeurPsych. 1950;63(5):713-718. doi:10.1001/archneurpsyc.1950.02310230035002
Abstract

FEW REFERENCES deal with the segmental level at which afferent pain-conducting pathways from the testis and epididymis reach the spinal cord. The upper level of this inflow still seems to be a matter of controversy (Mitchell,1 Pitkin2), and it appeared justified, therefore, to study this problem in 53 cases with various levels of traumatic lesions of the spinal cord.

DISTRIBUTION  The injury in 21 cases (40 per cent) was caused by shell fragments or bullets and in 32 cases (60 per cent) by closed injuries (fractures) of the spine. In 9 cases the lesions were cervical, in 38 thoracic and in 6 lumbar. In 14 (25 per cent) the lesions were considered clinically incomplete, and in 39 (75 per cent), as clinically complete. The age distribution was 23 to 58 years. The time interval between injury and examination varied from three months to 6 years. Mild to severe

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