The patient was a man aged 65 years, of great mental and physical activity, and in good health with the exception of the illnesses arising during army service and two or three wounds, one of which was received at Antietam, a fragment of shell striking him between the right shoulder blade and the spine. He was seized suddenly with pain in the area of distribution of the seventh intercostal nerves on the right side, about May, 1896. There was very great tenderness upon pressure or touch and extreme sensitiveness to variations of weather. The pain exhibited an extraordinary obstinacy to treatment, so far as could be learned from the patient's statements.
He was treated by the family physician (a homeopath) for intercostal neuralgia without experiencing any relief. The pain continued in varying degrees of severity, but was never absent during the whole spring and summer; it was often so great
MITCHELL JK, RHEIN JHW. A CASE OF TRANSVERSE MYELITIS WITH AN UNUSUAL FORM OF DESCENDING DEGENERATION IN THE POSTERIOR COLUMNS. JAMA. 1898;XXX(15):824–827. doi:10.1001/jama.1898.72440670012002a
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