A case of intradural spinal cyst, with operation and recovery / by W.G. Spiller, J.H. Musser and Edward Martin ; with a brief report of eleven cases of tumor of the spinal cord or spinal column, by William G. Spiller.

  • Spiller, William G. (William Gibson), 1863-1940.
Date:
1903
Catalogue details

Licence: In copyright

Credit: A case of intradural spinal cyst, with operation and recovery / by W.G. Spiller, J.H. Musser and Edward Martin ; with a brief report of eleven cases of tumor of the spinal cord or spinal column, by William G. Spiller. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    regions since the examination on June 10th, and is almost as intense on the right side as on the left. Constipation has not increased, possibly because the patient has been taking magnesium. She has no girdle sensation, and has not felt any loss of motor power in the lower limbs. During the last two or three days she has had considerable pain in the left inguinal region. Menstruation has persisted during her disease. While being exam- ined the pain is so intense that she is unable to sit still, and squirms from side to side in her chair in the hope of getting relief. Tactile sensa- tion is more acute in the right lower limb below the knee than in the corresponding part of the left lower limb. She complains of numbness in the left foot, and both feet are cold. The patellar reflex on the right side is exaggerated, but is not obtained on the left side even by reinforcement. Patellar clonus and Babinski’s reflex are not ob- tained on either side. Achilles-jerk is present on the right side, but absent on the left side. Ankle clonus is not obtained. Attempts to extend pas- sively the right leg and thigh cause great pain in the lumbar region. Standing gives some relief. Gait is peculiar only because of the movements caused by pain. The upper limbs are not affected. Turning the head passively from side to side or coughing causes pain in the lumbar region. On June 28th the left foot felt dead; the parses- thesia did not extend above the ankle, and the foot was also described as if asleep. Resistance to passive movement in the flexors of the left thigh was distinctly less than in the right thigh, but resistance to passive movement in the muscles of the left leg seemed to be as good as in the right