89 See Seguin, loc. cit., 1874; Erb, Ziemssen's Handbuch, Bd. xi.; Seeligmüller, Gerhardt's Handbuch der Kinderkrankheiten; Ross, Treatise on Diseases of Nervous System, vol. ii.; Hammond, Diseases of Nervous System, 6th ed., 1881, etc. etc.
The following table contains a summary of the seven autopsies in which the spinal cord is said to have been examined with negative results. Of these, the only really important case is the third, in which a microscopic examination, made by so competent an histologist as Robin, was said to have discovered no lesion of the cord.
The foregoing autopsies may be tabulated as follows:
TABLE I.—NEGATIVE AUTOPSIES.
| No. | Year. | Name of Author and Patient. | Age at time of Paralysis. | Age at time of Autopsy. | Nature of Symptoms. | Limbs Paralyzed. | Electric Reaction. | Appearances at Autopsy. | Reference in Literature. |
| 1 | 1850 or '51? | Rilliet and Barthez. | ? | ? | ? | l. o. | ? | Negative. | Gaz. méd. de Paris, 1850 (or '51?) p. 681. |
| 2 | 1850 or '51? | Rilliet and Barthez. | ? | ? | ? | b. u. | ? | Negative. | Ibid. |
| 3 | 1867 | Bouchut and Robin. (Angélique Lermain). | 1½ | 3 | Suddenly after 3 days' fever. | both u. | Negative micro- scopically. | Union méd., 1867, No. 130, p. 187. | |
| 4 | 1873 | Adams. | — | — | — | — | — | Negative. | Treatise on Club-foot, p. —. |
| 5 | 1873 | Elischer and Kétli. | — | — | — | — | — | Negative. | Jahrb. Kinderheilk., 1873. |
| 6 | 1873 | Elischer and Kétli. | — | — | — | — | — | Negative. | Ibid. |
Heine, in the absence of autopsies, but arguing from clinical symptoms alone, already inferred the existence of a spinal lesion as cause of the paralysis, and believed that it consisted in congestion, or even in hemorrhagic exudation, capillary or massive, which should compress the cord and result in partial atrophy. The same opinion is advanced in 1844 by Brunnière,90 also by Vogt,91 in 1868 by Salomon92 and Radcliffe.93 The autopsies contained in the following table, in all of which vascular lesions are prominent, might be invoked in support of this view:
TABLE II.—AUTOPSIES SHOWING VASCULAR LESIONS OF CORD.
| No. | Year. | Name of Author and Patient. | Age at time of Paralysis. | Age at time of Autopsy. | Nature of Symptoms. | Limbs Paralyzed. | Electric Reaction. | Appearances at Autopsy. | Reference in Literature. |
| 7 | 1829 | Klein. | 5 | 5 | Persistent cerebral symptoms. | l. o. | ? | Congestion of pia around roots of left brachial plexus. | Quoted by Heine. |
| 8 | 1855 | Brund. | 1 | 5 | Meningitis? | r. u. | ? | Chronic spinal klepto-meningitis. | |
| 9 | — | Hammond. | 4 yrs. stand. | — | l. u. | ? | Encysted clot in left ant. column, lower dorsal cord. | Journ. Psych. Medicine, 1867. | |
90 Krankheiten des Gehirns und Ruckenmarkes.