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November 1923

SPASTIC PARAPLEGIA IN FLEXION: CASE DUE TO A MENINGEAL TUMOR COMPRESSING THE LOWER CERVICAL CORD ON THE ANTERIOR AND RIGHT LATERAL ASPECTS

Author Affiliations

Clinical Professor of Medicine (Neurology) and Clinical Professor of Surgery, respectively, Stanford University Medical School SAN FRANCISCO

Arch NeurPsych. 1923;10(5):512-518. doi:10.1001/archneurpsyc.1923.02190290023003
Abstract

The literature on spinal tumors has been enriched by the recent American contributions of Elsberg and Stookey, Frazier and Spiller, Abrahamson and Grossman, and by Adson. Refinements in diagnostic procedures and recognition of unusual clinical pictures have greatly aided diagnosis. The paucity of sensory symptoms, for example, in tumors situated on the anterior and anterolateral aspects of the cord has lately been emphasized. The case to be reported is one of spinal tumor in such location, but has the additional interest of presenting a flexion paraplegia, an unusual picture in spinal tumors. In a series of sixteen personal cases of verified spinal tumors affecting the cord the writer has met with but this one example.

A critical discussion and extensive review of the subject, with full literature references, will be found in the recent article of Babinski.1 To Babinski belongs the credit of sharply differentiating the symptomatology of this

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