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December 9, 1922


Author Affiliations


JAMA. 1922;79(24):2000-2001. doi:10.1001/jama.1922.26420240005013h

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A man, aged 35, consulted me because of severe pain which would come on as soon as he lay down, and which disturbed his sleep. The pain was located to the left of the spine over the lower part of the neck. The peculiarity of the pain was that it would largely disappear when the patient was up and about his work, but, no matter what position he lay in, it would continue. Examination revealed a pronounced weakness involving all of the extensor muscles of the left upper extremity. The ability to extend the wrist against resistance was very weak. In fact, the wrist was held in a partially wrist-drop position. Extension of the fingers, and at the elbow, and at the shoulder were proportionately weak. The hand grip was also very much reduced in strength. There was a similar weakness in the power of supinating the forearm. Testing for

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