Excerpt from Neurological Bulletin, Clinical Studies of Nervous and Mental Diseases in the Neurological Department of Columbia University, 1919, Vol. 2 It is to these regions, therefore, that one should look for a lesion in this case, if anatom ical opportunity presents itself, -something in the way of a failure of cortical development, an agenesia cerebralis, possibly racial, familial, prenatal inflammatory process, as a minute hemorrhage, with what goes along with it, absorption, and cystic formation, may exist. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work.This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

Excerpt from Neurological Bulletin, 1921, Vol. 3: Clinical Studies of Nervous and Mental Diseases in the Neurological Department of Columbia University In each of these periods, the goal is differ ent - hence the necessity of a difference in equipment. A lack Of equipment in any Of the Stages, or a gross lack Of unity or precision in the arrival Of the different factors at any of the critical moments of the struggle, de termines the failure Of the individual in the competition. It is our problem to investigate this equip ment and see wherein such failure consists; the results Of such failure upon the organ ism, and if possible, its prevention and remedy. The glandular elements which dominate these stages are the thymus and pineal speci fically during the first period, the gonads during the second; with control during both periods exerted in the direction Of periodi city, intensity and regularity Of the auto matic vital functions, by the thyroid, the pituitary and the adrenals. During the final period, there is a gradual diminution in the activity of this latter group up to the cessa tion of all vegetative functions. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

Excerpt from Neurological Bulletin, Vol. 1: Clinical Studies of Nervous and Mental Diseases in the Neurological Department of Columbia University General Sensory. Touch. - The patient felt the touch of a finger anywhere on legs, back, and abdomen. In some places on the legs and abdomen below the nipple, it was difficult for him to recognize the prick of a pin other than as a touch. In other places the patient experienced pain when pricked with a pin. Pain. - There was a numbness of both legs, extending up the trunk to a level an inch above the nipple. There were no shooting pains nor gastric crises. There was pain between the shoulders in the region of the original injury, and where he first felt pain after he was hurt. This pain was elicited by jarring or bending forward and had persisted ever since the injury. Temperature. - He did not recognize heat or cold (presumably in area below line of sensory limit), sometimes calling the hot cold, and the cold hot. The patient was observed from time to time. The deep reflexes in legs became more active; the sensory disturbances increased until pain or temperature sensibility was more and more impaired. Supplementary General Examination. - As to rectal and vesical control, his bowels moved daily without catharsis and he had no trouble with his sphincters. For the past five months he had had trouble with starting micturition. Just above the level of the nipple, a little higher on the left side, there was a welldefined band three to four inches wide extending around the body which was distinctly hyperaesthetic. From this level down the sensation was disturbed as just described. The thoracic and abdominal organs and the cranial nerves were all normal, and the arms showed no sensory disturbances or paralysis. The weakness of the legs increased daily. On September lo and 13, lumbar punctures were made, but no fluid obtained. On September 23 a third lumbar puncture yielded about 20 c.c. of light colored amber fluid, which came out slowly, drop by drop, under low pressure. This fluid showed a marked positive Noguchi reaction and contained very few cells, mostly lymphocytes. During this time his temperature, pulse, and respiration were normal. Urine was normal; Wassermann reaction of the blood negative. There was no tuberculin reaction. Blood was W.B. C. 8,000 (polynuclears, 63%, lymphocytes, 33%, eosinphiles, 2%, basophiles, none); R. B. C. 5,120,000; hemoglobin, 87%. With the above symptoms, it was inferred that the patient was injured at the time of the scrimmage in football, and that owing to that injury, there was a subdural hemorrhage in the upper dorsal region of the cord and, perhaps, some laceration of the meninges, possibly a fracture of one of the vertebrae, although a radiograph of the spine showed no abnormality. It seemed likely that at the time of the injury there was not sufficient pressure on the spinal cord to cause any decided cord symptoms but that a lesion gradually developed which in some way compressed the cord and slowly increased the symptoms. During the month of October the weakness increased so that the patient was unable to walk. Operation was advised and the patient was sent to the first surgical division on October 27th, and Dr. Joseph A. Blake performed a laminectomy as follows: An incision from the seventh cervical to the fourth dorsal vertebra was made. Considerable bleeding was met with superficially. No evidence of a fracture or dislocation in the vertebrae could be found. The dura, when exposed, showed a little, old, fibrinous exudate. On being opened, the dura was at once expanded bilaterally by a tumor mass which resembled a large blood clot and which surrounded the cord from the seventh cervical to the third dorsal vertebra about 7.5 cm. and showed the consistency of a granuloma. The cord at this point was very much compressed so that it seemed smaller in diameter than above or below but its continuity still ex."

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.