ing from the recumbent position the man had to lift his head with
his hands. Fifty days after the accident he suffered excruciating pain
at the change of the weather, and at the approach of a storm the
joints, as well as the neck, were involved. It was believed (one
hundred and seven days after the accident) that both fracture and
luxation existed. His voice had become guttural, but examination of the
fauces was negative. The only evidence of paralysis was in the fingers,
which, when applied to anything, experienced the sensation of touching
gravel. The mottling of the tissues of the neck, which appeared about
the fiftieth day, had entirely disappeared.

According to Thorburn, Hilton had a patient who lived fourteen years
with paraplegia due to fracture of the 5th, 6th, and 7th cervical
vertebrae. Shaw is accredited with a case in which the patient lived
fifteen months, the fracture being above the 4th cervical vertebra.

In speaking of foreign bodies in the larynx and trachea, the first to
be considered will be liquids. There is a case on record of an infant
who was eating some coal, and being discovered by its mother was forced
to rapidly swallow some water. In the excitement, part of the fluid
swallowed fell into the trachea, and death rapidly ensued. It is hardly
necessary to mention the instances in which pus or blood from ruptured
abscesses entered the trachea and caused subsequent asphyxiation. A
curious instance is reported by Gaujot of Val-de-Grace of a soldier who
was wounded in the Franco-Prussian war, and into whose wound an
injection of the tincture of iodin was made. The wound was of such an
extent as to communicate with a bronchus, and by this means the iodin
entered the respiratory tract, causing suffocation. According to
Poulet, Vidal de Cassis mentions an inmate of the Charite Hospital, in
Paris, who, full of wine, had started to vomit; he perceived Corvisart,
and knew he would be questioned, therefore he quickly closed his mouth
to hide the proofs of his forbidden ingestion. The materials in his
mouth were forced into the larynx, and he was immediately asphyxiated.
Laennec, Merat, and many other writers have mentioned death caused by
the entrance of vomited materials into the air-passages. Parrot has
observed a child who died by the penetration of chyme into the
air-passages. The bronchial mucous and underlying membrane were already
in a process of digestion. Behrend, Piegu, and others cite analogous