Abstract
Subacute combined degeneration of the cord is such a well defined clinical and pathologic entity that diagnosis, as a rule, is not difficult. However, cases occur in which a diagnosis is rendered uncertain because of accidental features foreign to this morbid entity. Of these I shall take up paraplegia in flexion and the so-called symptom of Lhermitte. While the former has been described in subacute combined degeneration of the cord, the symptom of Lhermitte has not. REPORT OF A CASE History. —A white man, an American, aged 45, with a good personal and family history, was admitted to the neurologic service (Dr. Gerty) of the Cook County Hospital on Feb. 6, 1932, because of loss of weight, general weakness and difficulty in walking. The illness had begun two years previously with sphincter disturbances (occasional incontinence of the bladder and rectum). These disturbances soon disappeared, but for the last four months

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