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September 23, 1893

HEMIPARAPLEGIA; WITH REPORT OF A CASE COMPLETELY RECOVERED AFTER ONE YEAR'S DURATION.Read before the Section of Neurology and Medical Jurisprudence, at the Forty-fourth Animal Meeting of the American Medical Association.

JAMA. 1893;XXI(13):441-444. doi:10.1001/jama.1893.02420650007001a

In certain lesions of the spinal cord, the prospects of recovery are so much more hopeful from surgical interference than from medical treatment, that an exact diagnosis is of paramount importance. Hence every ray of light, however feeble it may be, that illuminates the question of spinal cord localization, should be most carefully cherished. Our knowledge of the motor centers of the cord is already sufficiently exact to guide the surgeon in his operations, but the precise limitations of the sensory areas are matters still of much uncertainty. A great deal has been accomplished towards increasing our information in this respect by Oppenheim, Westphal, Rosenthal, Eulenberg, Ross, Mills, Osler, Church, and especially Thorburn. According to the general concensus of opinion to-day, the decussations of the sensory and motor tracts are such that a lateral focal lesion anywhere below the cervical enlargement gives rise to a hemiparaplegia, with paralysis upon one