third cervical vertebra, from which it was extracted
six weeks later. The paralysis, which, up to the time of extraction,
had affected all four limbs, rapidly diminished. In about five weeks
after the removal of the bullet nearly the entire body of the 3d
cervical vertebra, including the anterior half of the transverse
process and vertebral foremen, was spontaneously discharged. Nearly
eight years afterward Keen saw the man still living, but with his right
shoulder and arm diminished in size and partly paralyzed.

Doyle reports a case of dislocated neck with recovery. During a runaway
the patient was thrown from his wagon, and was soon after found on the
roadside apparently dead. Physicians who were quickly summoned from the
immediate neighborhood detected faint signs of life; they also found a
deformity of the neck, which led them to suspect dislocation. An
ambulance was called, and without any effort being made to relieve the
deformity the man was placed in it and driven to his home about a mile
distant. The jolting over the rough roads greatly aggravated his
condition. When Doyle saw the patient, his general appearance presented
a hopeless condition, but being satisfied that a dislocation existed,
Doyle immediately prepared to reduce it. Two men were told to grasp the
feet and two more the head, and were directed to make careful but
strong extension. At the same time the physician placed his right hand
against the neck just over the pomum Adami, and his left against the
occiput, and, while extension was being made, he flexed the head
forward until the chin nearly touched the breast, after which the head
was returned to its normal position. The manipulation was accompanied
by a clicking sensation, caused by the replacement of the dislocated
vertebra. The patient immediately showed signs of relief and improved
rapidly. Perceptible but feeble movements were made by all the limbs
except the right arm. The patient remained in a comatose condition for
eight or nine days, during which he had enuresis and intestinal torpor.
He suffered from severe concussion of the brain, which accounted for
his prolonged coma. Delirium was present, but he was carefully watched
and not allowed to injure himself. His recovery was tedious and was
delayed by several relapses. His first complaint after consciousness
returned (on the tenth day) was of a sense of constriction about the
neck, us if he were being choked. This gradually passed off, a