Abstract
We had experienced three cases of double lesion at both lower thoracic spine and upper lumbar spine. In such cases the clinical signs were various and we could not decide the main lesion easily. All our three cases had characteristically remarkable muscle atrophy of quadriceps and abnormal reflex and sensory disturbance. Were neurological signs available for the diagnosis of the main lesion in such cases? We had investigated neuroglogical signs of thoracic lesion and lumbar lesion respecively and concluded that neurological signs were reliable to decide the level of the main lesion.
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