Abstract

ABSTRACT Introduction. —Dr. Pearce Bailey, in his Diseases Caused by Accident, says: Traumatic hematomyelia is one of the most interesting of traumatic disorders of the nervous system. In severe general injuries when it occurs as a complicating factor, its individuality is usually lost in the general mutilation. But when it constitutes the chief lesion it very often has distinctive and recognizable symptoms. In its most characteristic form it occurs without any bone injury, being demonstrable during life, and many autopsies have proved that such a lesion in the spinal cord is possible without the integrity of the spinal column being interfered with. This variety, which I have called primary hematomyelia (the word primary indicating that the bleeding results directly from the violence without the intervention of crushing or pressure by bone), is found almost exclusively in the lower cervical and upper thoracic regions,

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