Spinal Apoplexyと思われた1臨床例

A Case of Spinal Apoplexy

　著者等は臨床的にSpinal Apoplexyと思われる1例を経験し，本疾患にみられる特徴ある症候について，若干の考察を加えたのでここに報告する。

A 46 years old man. The symptoms of phys-iologic transection of the cord suddenly develop-ed, following a fall onto his buttocks. Therewas a dissociated sensory loss in the segmentsat the level of C₆~D₁₂a complete sensory lossbelow the level of D₁₂, a flaccid quadriplegia,and a paralysis of bladder and rectal function.In the early stages there was a intermittent feverwith anhydrosis, bradycardia and red dry skin.According to the characteristics of this feverand other negative findings, spinal hyperthermiawas revealed and the pathogenesis of spinalhyperthermia was discussed. In the later stagesa dissociated sensory loss became more complete,hematomyelia appeared to be a most agreeablediagnosis.