Abstract

The symptoms and signs of disturbed motility and of altered sensibility, observed in many patients with compression of the spinal cord by a neoplasm, form a syndrome which is typical of pressure on the spinal cord. In not a few instances, however, the disturbance of motor power is much more advanced than that of sensation, and often the diminution of one or other type of sensibility is out of proportion to the changes in other modalities. The study of these clinical variations, which may be found in tumors at all levels but are often striking in compression of the cervical segments of the spinal cord, not only has yielded valuable information for the diagnosis and differential diagnosis of spinal disease, but also has advanced our knowledge of the course and the arrangement of the fibers in the sensory pathways. In extramedullary tumors, it is often possible to obtain the history

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