Syphilis of the vertebral column : its symptomatology and neural complications / by J. Ramsay Hunt.

  • Hunt, James Ramsay, 1872-1937.
Date:
1914
Catalogue details

Licence: In copyright

Credit: Syphilis of the vertebral column : its symptomatology and neural complications / by J. Ramsay Hunt. 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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    is altered. In addition there is a spur on the upper surface of the ring which forms tlie partial foramen through which the first nerve emerges from the spine. This spur is to be regarded as an anomaly. Otherwise the examination is negative. I am unable to detect any change in the structure of these bones which would indicate that it is of syphilitic or tubercular origin. Fiq. 1.—Syphilitic spondylitis of cervical region. Case I. Patient picking up an object on the floor, showing marked rigidity of the neck and fixation of the head. November 17. He is generally free from pain in the early part of the day, but it returns about four or five o’clock in the afternoon. It is burning and throbbing in character. The neck is much more flexible, especially backward and forward. It is, however, held stiffly. Tenderness of the second and third cervical vertebrae has practically disappeared. Jarring of the spine causes shooting pains over the mastoid on both sides. January 19, 1912. A second a:-ray examination was made by Dr. E. \V. Caldwell, who reports as follows: “I made a number of a:-ray plates showing the lower six cervical vertebrae very well. I do not find any indication of the cause of his symptoms, in this part of the column, but I suspect that the trouble is in the articu-