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October 23, 1915


Author Affiliations

Visiting Neurologist, Memorial Hospital and Worcester City Hospital WORCESTER, MASS.

JAMA. 1915;LXV(17):1448-1455. doi:10.1001/jama.1915.02580170036010

The title of this article is descriptive of a rare pathologic condition which has comparatively recently come under my observation. Its rarity is attested by the fact that in the literature very few cases can be discovered of this combination of acute inflammation of the spinal cord with overwhelming diffuse hemorrhages into the gray matter, and to somewhat less extent into the white matter.

It seems important to draw an analogy between this case and two other cases of acute ascending paralysis, also recently under observation.

The evidence tends to show that there are three clinical as well as pathologic types of acute ascending paralysis. My conception of the differentiation of the three will follow later.

In order to have the material before us, I shall at once describe this case of acute hemorrhagic myelitis, and later briefly the other two cases.

Case 1.  —E. W., a girl of 20,

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