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g sensation； caused by the replacement of the dislocated vertebra。 The patient immediately showed signs of relief and improved rapidly。 Perceptible but feeble movements were made by all the limbs except the right arm。 The patient remained in a comatose condition for eight or nine days； during which he had enuresis and intestinal torpor。 He suffered from severe concussion of the brain； which accounted for his prolonged coma。 Delirium was present； but he was carefully watched and not allowed to injure himself。 His recovery was tedious and was delayed by several relapses。 His first complaint after consciousness returned （on the tenth day） was of a sense of constriction about the neck； us if he were being choked。 This gradually passed off； and his improvement went on without development of any serious symptoms。 At the time of report he appeared in the best of health and was quite able to attend to his daily avocations。 Doyle appends to his report the statement that among 394 cases embraced in Ashhurst's statistics； in treatment of dislocations in the cervical region； the mortality has been nearly four times greater when constitutional or general treatment has been relied on exclusively than when attempts had been made to reduce the dislocation by extension； rotation； etc。 Doyle strongly advocates attempts at reduction in such cases。
Figure 205 represents a photograph of Barney Baldwin； a switchman of the Louisville and Nashville Railroad； who； after recovery from cervical dislocation； exhibited himself about the country； never appearing without his suspensory apparatus。
Acheson records a case of luxation of the cervical spine with recovery after the use of a jury…mast。 The patient was a man of fifty…five； by trade a train…conductor。 On July 10； 1889； he fell backward in front of a train； his head striking between the ties； the brake…body caught his body； pushing it forward on his head； and turned him completely over。 Three trucks passed over him。 When dragged from beneath the train； his upper extremities were paralyzed。 At noon the next day； nineteen hours after the accident； examination revealed bruises over the body； and he suffered intense pain at the back of the neck and base of the skull。 Posteriorly； the neck presented a natural appearance； but anteriorly； to use the author's description； his neck resembled a combined case of mumps and goiter。 The sternomastoid muscle bulged at the angle of the jaw； and was flaccid； and his 〃Adam's apple〃 was on a level with the chin。 Sensation in the upper extremities was partially restored； and； although numb； he now had power of movement in the arms and hands； but could not rotate his neck。 A diagnosis of cervical dislocation was made； and violent extension； with oscillation forward and backward； was practiced； and the abnormal appearance subsided at once。 No crepitus was noticed。 On the fourth day there was slight hemorrhage from the mouth； which was more severe on the fifth and sixth days。 The lower jaw had been forced past the upper； until the first molar had penetrated the tissues beneath the tongue。 A plaster…of…Paris apparatus was applied； and in two months was exchanged for one of sole…leather。 In rising 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 instances。
The presence of a foreign body in the larynx is at all times the cause of distressing symptoms； and； sometimes； a substance of the smallest size will cause death。 There is a curious accident recorded that happened to a young man of twenty…three； who was anesthetized in order to extract a tooth。 A cork had been placed between the teeth to keep the mouth open。 The tooth was extracted but slipped from the forceps； and； together with the cork； fell into the pharynx。 The tooth was ejected in an effort at vomiting； but the cork entered the larynx； and； after violent struggles； asphyxiation caused death in an hour。 The autopsy demonstrated the presence of the cork in the larynx。 A somewhat analogous case； though not ending fatally； was reported by Hertz of a woman of twenty…six； who was anesthetized for the extraction of the right second inferior molar。 The crown broke off during the operation； and immediately after the extraction she had a fit of coughing。 About fifteen days later she experienced pain in the lungs。 Her symptoms increased to the fifth week； when she became so feeble as to be confined to her bed。 A body seemed to be moving in the trachea； synchronously with respiration。 At the end of the fifth week the missing crown of the tooth was expelled after a violent fit of coughing； the symptoms immediately ameliorated； and recovery was rapid thereafter。 Aronsohn speaks of a child who was playing with a toy wind…instrument； and in his efforts to forcibly aspirate air through it； the child drew the detached reed into the respiratory passages； causing a