Chronicle of the Society of Neurologists and Psychiatrists at the Imperial Kazan University of December 17, 1908

Dr. Pervushin. An interesting report by I. A. is supported by such convincing anatomical and physiological data concerning the treated area that one can fully agree with his conclusions regarding the nature of the painful phenomena of the described case. Only on the question of the participation in this case of the lesion of the spinal cord itself, I would take a somewhat different view, or rather be more categorical: there was no direct lesion of the spinal cord; if this were allowed, in view of the increase in tendon reflexes on the left leg and Achilles on the right, then it would be necessary to assume that the knife, penetrating the spinal canal on the left and injuring the roots of the left side, penetrated the substance of the brain, passing on the left and on its right side, which caused damage to the rights. pyramidal bundle and caused an increase in tendon reflexes not only on the left, but also on the right. With such a mechanism, however, a number of corresponding spinal symptoms would be observed, which was not the case. The increase in the mentioned reflexes could be explained, perhaps, by the pressure on the spinal cord of the hematoma.