58 QUARTERLY CHRONICLE. 
pression of face. The pulse was weak, but regular—100. 
Every ten or fifteen minutes there was momentary contrac- 
tion of the facial and spinal muscles. Attempts at degluti- 
tion, or taking a deep inspiration, brought on these spasms 
immediately. The breathing was nearly all abdominal, the 
thorax moving very slightly. The right leg was inflamed 
about its middle, and there was a deep slough four inches 
long and two inches wide. The actual cautery was applied 
from the occiput to the middle of the dorsal region, the 
patient being under the influence of chloroform. The spas- 
modic attacks gradually increased in frequency as well as 
intensity, and the man died in one of them on the morning of 
the 18th. He could move his jaw freely during the last four 
hours. 
The post-mortem examination was conducted by my friend 
Dr. Dickinson, of St. George’s Hospital, who gave the fol- 
lowing account of the external aspect of the spinal cord :— 
«The sheath of the cord was natural in appearance. It had 
a reddish hue, owing to the fulness of the vessels on the 
surface of the cord. Over its whole extent the cord was 
covered with large injected vessels, which were nearly as 
thick as whipcord. They were near together, and ran more 
or less parallel to the length of the cord. The white and 
gray matter were both congested, and the puncta were very 
conspicous everywhere.” 
A portion of this cord—the principal part of the cervical 
enlargement—was given to me by Dr. Dickinson. It was 
already hardened by long maceration in chromic acid. In 
sections I found the gray substance in particular very much 
