h
the skin over the venter of the left ilium. The skin was
broken, but the force of the bullet was not sufficient to cause
it to pass through, and it was later expressed from the wound
by the surgeon. The bullet was a Mauser, and not in any way
deformed, although it must at any rate have struck the spine
and perforated the ilium.

Immediate paraplegia resulted, both sensation and motor power
were completely abolished, but there was no trouble either with
the bladder or rectum. No symptoms of injury to either thoracic
or abdominal viscera were noted.

Three days after the injury sensation and some return of motor
power were observed in the left extremity, and some power of
movement in the toes of the right foot.

During the next eight weeks steady but slow improvement took
place; during the last three weeks of this period he made the
voyage to England. Ever since the injury some elevation of
temperature was noted, a rise at night to 100 deg. or at times to
102 deg.; for this no definite cause was discovered. In the tenth
week the condition was as follows: The temperature has become
normal. The patient has lost flesh to a considerable extent
since the reception of the injury. The lower extremities are
much wasted, especially the peroneal muscles. Patellar reflexes
can be obtained, but the knee jerks are uncertain. Unevenly
distributed paralysis exists in both lower extremities.
Left--Sensation fairly good throughout. Quadriceps very weak;
does not react to electrical stimulation. Calf muscles act
fairly. Anterior tibial and musculo-cutaneous groups are
paralysed. Right--Quadriceps acts better than on left, muscles
below the knee paralysed, and in the same area there is
complete absence of sensation. The patient complains of
shooting pains in both legs, and there is some deep muscular
tenderness.

Three weeks later an abundant crop of vesicles appeared over
the front of the right thigh and leg, above and below the knee.
Sensation in the limb at the same time returned to a
considerable degree, anaesthesia persisting on the outer aspect
of the thigh only.

At the end of four months very considerable improvement had
taken place, but there was no return of motor power in the
right leg, or the muscles supplied by the perone