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August 1935

SUBACUTE COMBINED DEGENERATION OF THE SPINAL CORD: Report of a Case Following Childbirth and Complicated by Spinal Epidural Hemorrhage

Author Affiliations

Professor of Neurology, University of Illinois College of Medicine; Assistant Professor of Neurology, Northwestern University Medical School CHICAGO

From the Department of Nervous and Mental Diseases, Northwestern University Medical School, and the Neuropathology Laboratory, University of Illinois College of Medicine.

Arch NeurPsych. 1935;34(2):401-406. doi:10.1001/archneurpsyc.1935.02250200161012

While cases of subacute combined degeneration of the spinal cord following childbirth or occurring during pregnancy have been occasionally mentioned in the literature, cases of this disease in which hemorrhages took place in the epidural spinal space are altogether unknown. In the older literature, hemorrhages in the parenchyma of the spinal cord, especially the gray matter, have been described repeatedly (Minnich,1 Rothman,2 Teichmüller,3 Rheinboldt4 and others) in subacute combined degeneration of the cord, but they have not been mentioned in the exhaustive studies of later observers (Russel, Batten and Collier,5 Woltman6 and Henneberg7). The microscopic effusions of blood occasionally observed in this condition are accidental or agonal.

As, in the case to be reported, the foregoing conditions—childbirth, subacute combined degeneration of the cord and epidural hemorrhages—were combined, a discussion of such an unusual combination will be of interest.


History.  —A

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