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November 1942


Author Affiliations


From the Medical Clinic, the Peter Bent Brigham Hospital, and the Department of Medicine, Harvard Medical School.

Arch NeurPsych. 1942;48(5):789-798. doi:10.1001/archneurpsyc.1942.02290110109005

Recent observation on a patient who experienced spastic-ataxic paraplegia due to compression of the cord by an epidural granuloma led to consideration of the incidence, diagnosis and prognosis of this lesion. Because of the relative infrequency of the condition and the many diagnostic variables which existed in this instance, we present the following case.

REPORT OF CASE  C. H. W., a 45 year old, single, unemployed embalmer, was admitted to the Peter Bent Brigham Hospital for the second time on Aug. 1, 1940, complaining of inability to walk of two weeks' duration.The family history was not pertinent.

Personal History.  —The patient had been in excellent health until seven years before admission, when, at the age of 37, he sought medical advice because of dizziness and weakness. He was admitted to the Peter Bent Brigham Hospital for the first time on March 22, 1933, and examination showed evidence of hypertensive