power was regained in the
flexors and abductors of the right thigh, and the same muscles
of the left limb could be made to contract feebly. Meanwhile
the patient suffered with severe fever, accompanied by frequent
rigors and profuse sweats; the bed-sore continued to extend,
and the urine was foul and contained pus.

The patient continued in a similar condition, progressive
emaciation and exhaustion taking place, and at the end of six
weeks he died.

At the _post-mortem_ the bullet was found to have tracked
beneath the right scapula, entering the chest by the fifth
intercostal space and lacerating the right lung; thence it
entered the eighth dorsal centrum and tunnelled both this and
the ninth diagonally, to escape beneath the ninth rib. On
opening the spinal canal the tunnel was found to be separated
only by the compact tissue of the centrum from the cavity,
while a thin extra-dural haemorrhage separated the dura from the
bones anteriorly. The spinal cord exhibited no sign of pressure
and was firm and continuous, but up to the lower limit of the
dorsal region there was septic myelitis and meningitis, the
result of pus having tracked up the canal from the sacral
bedsore. Suppurative cystitis and pyelitis were present. The
patient was the subject of an old urethral stricture which had
given rise to trouble during treatment.

(103) _Dorsal region; total transverse lesion; slight
intra-dural haemorrhage._--Wound of _entry_ (Mauser), below
spine of scapula, close to right axilla; _exit_, 2-1/2 inches
to left of tenth dorsal spinous process.

Complete motor and sensory paralysis below ensiform cartilage,
with well-marked hyperaesthetic zone around trunk. All reflexes
absent. Retention of urine. Incontinence of faeces. Bed-sores in
sacral region developed during the first two days, and
seventeen days later well-developed serpiginous trophic sores
developed on the outer side of each leg and continued to
increase slowly until death. The paralysis remained of the
absolutely flaccid variety. Great emaciation occurred,
accompanied by hectic fever, the temperature ranging from
normal to 102.5 deg.. During the third week double pleurisy
developed.

At the _post-mortem_ no bone injury could be detected. The cord
and dura-mater wer