extremities, and a cremasteric reflex was to be obtained.
A large bedsore had developed over the sacrum. No further
change occurred in the lower extremities. The patient became
progressively emaciated and exhausted, cystitis persisted, the
bedsore deepened. The man eventually developed signs of a large
basal abscess in the left lung, and died on the forty-second
day.

At the _post-mortem_ a fracture of the first lumbar lamina was
discovered, with some splintering of the bone; the lumbar
spinous process was attached and in its normal position.
Opposite the centre of the cauda equina were the remains of a
considerable haemorrhage, both extra- and intra-dural, the
nerves appearing somewhat compressed, but of normal
consistency. The muscles of the back were infiltrated with
putrid pus on both sides. A pulmonary abscess cavity the size
of a hen's egg occupied the upper part of the lower lobe of the
left lung. The kidneys were congested, and the bladder
thickened and chronically inflamed.

(100) _Cervico-dorsal region. Total transverse lesion._--Wound
of _entry_ (Mauser), to the right of the sixth cervical
vertebra: the bullet was removed on the field from the left of
the seventh dorsal spinous process, which was somewhat
prominent. Complete motor and sensory paralysis extended
upwards to the third intercostal space; the breathing was
almost entirely diaphragmatic. Retention of urine. Entire
abolition of reflexes in lower limbs and trunk. Hyperaesthesia
was present in both upper extremities, with a zone of
hyperaesthesia around the chest. The patient suffered greatly
for some weeks from pain in the hyperaesthetic area, he
developed severe cystitis and later incontinence of urine. A
large trophic sacral bed-sore steadily increased in depth and
size.

About ten days before death, which occurred on the fifty-third
day from exhaustion and septicaemia, the patient complained of
pains in his legs; but there was no return of sensation,
motion, or reflexes.

At the _post-mortem_, the seventh dorsal spinous process was
found to be loose and the laminae of the fifth, sixth, and
seventh vertebrae were separated from the pedicles, and somewhat
depressed on the left side. These laminae were adherent to the
dura, as were also a few sma