ixture of signs of primary
concussion, or at any rate symptoms of radiation. The following is an
extreme but excellent example of more complicated and prolonged effects:

(97) A lance-corporal of the Black Watch was wounded at
Magersfontein at a range of from 400 to 500 yards. The bullet
entered over the left malar bone 2-1/2 inches from the outer
canthus, while the aperture of exit was 2-1/4 inches above the
inferior angle of the right scapula, 3/4 of an inch anterior to
its axillary margin.

Very shortly after the injury complete motor and sensory
paralysis developed in both upper extremities, followed by the
development of a similar condition in the left lower limb, and
retention of urine and faeces, but the latter unaccompanied by
the marked abdominal intestinal distension so characteristic in
cases of total transverse lesion. The right side of the chest
continued to work well, but the intercostals of the left side
were paralysed. No disturbance of the normal action or
condition of the pupils was noted. After the first few days the
condition began to improve.

Three weeks later, the chest was moving symmetrically and well,
sensation and motor power had returned in considerable degree
in the left lower extremity, with marked increase in both the
plantar and patellar reflexes; sensation had returned in both
upper extremities, a slight amount of motor power was regained
in the right, but the left remained entirely flaccid and
incapable of movement.

At the end of a month power was regained over both bladder and
rectum, some slight movement of the left thumb was possible,
and a certain degree of hyperaesthesia developed over the back
of the forearm.

At the end of six weeks there was little further alteration,
but that in the direction of improvement. There was some
wasting of the muscles of the left upper extremity, and this
was most marked in the muscles supplied by the ulnar nerve.

At the end of ten weeks the patient had been up some days; he
could stand and walk, but was unable to rise from the sitting
posture without help. The plantar and patellar reflexes were
much exaggerated, and there was ankle clonus, most marked in
the left limb. The right upper extremity was normal, but weak;
there was wrist-drop on the left side and