gular; as
these cases, however, were often complicated by severe
concurrent injuries to internal organs, the irregularities
could hardly be ascribed to the spinal-cord lesion alone. In
cases of pure diaphragmatic respiration, the rate did not as a
rule exceed the normal of 16 or 20 to the minute, and it was
quite regular; this was noted soon after the injury and
persisted throughout the course of the cases. As is usually the
case, both respiration and the heart's action were most
embarrassed in the cases in which abdominal distension was a
prominent feature. In some of the neck cases the Cheyne-Stokes
type of respiration was very strongly marked.

In cases of low dorsal injury intestinal distension was
extreme, and I think more troublesome than the same condition
as seen in civil practice. The distension was accompanied by
most persistent vomiting, continuing for days, and in the cases
that lived for some time severe gastric crises of the same type
occurred in some instances.

Priapism was a common symptom; but, as is seen from the cases
quoted, was rarely due to any gross direct laceration of the
cord.

Trophic sores were both early to develop, and extensive;
primary decubitus occurred in all the cases I saw, and steady
extension followed. In one case a remarkable symmetrical
serpiginous ulceration developed in the area of distribution of
the cutaneous branches of the external popliteal nerve on the
outer side of the leg.

The paralysis in nearly every case was of the utterly flaccid
type, and wasting of the muscles was early and extreme. This
was occasionally accentuated by the supervention of myelitis.

Opportunities for making observations on the quantity of urine
secreted were not great, and I can offer no remark as to the
occurrence of polyuria. In one rapidly fatal case, however,
suppression of urine occurred.

(99) _Lumbar region. Transverse lesion._--Range under 1,000
yards. Wound of _entry_ (Mauser), over the seventh rib 1 inch
from the left posterior axillary fold; _exit_, over the centre
of the right iliac crest. Complete symmetrical motor and
sensory paralysis of lower extremities, entire abolition of
reflexes, retention of urine.

On the ninth day there was some return of sensation in the
lower