Although cramp has been mentioned as a symptom by several writers on the subject of prolapsed intervertebral discs (Bradford and Spurling, 1941; O'Connell, 1943; Lenhard, 1947) no study has hitherto been made of its exact nature, frequency, and relationships. It was not until the routine follow-up of cases of sciatica, which had been treated surgically, was begun that it was noticed that the sy...

OBJECTIVE To assess, characterize, and quantify cervical spine dysfunction in patients with cervicogenic somatic tinnitus (CST) compared to patients suffering from other forms of chronic subjective non-pulsatile tinnitus. STUDY DESIGN Cross-sectional study. SETTING Tertiary referral center. PATIENTS Consecutive adult patients suffering from chronic subjective non-pulsatile tinnitus were i...

Editor: Thromboembolic diseases are among the most prevalent medical problems today and cause stroke, myocardial ischemia, acute limb ischemia, and pulmonary embolism. Various treatment modalities exist, ranging from medical therapy to endovascular techniques. In the management of a thromboembolic condition causing a threatened limb, common options for treatment include surgical thromboembolect...

A 44-year-old woman presents with a chief complaint of neck pain with radiation of paresthesias into her left medial forearm, and fourth and fifth digits. She was involved in a rear end motor vehicle collision 2 years prior. Her symptoms are exacerbated by work (eg, typing, mousing), and combing her hair, and have remained relatively constant at 3 of 10 average, and 8 of 10 at its worst by visu...

The measurement of blood volume in the pulmonary vascular bed during life became theoretically feasible with the introduction of indicator dilution methods by Stewart (1) and Hamilton, Moore, Kinsman and Spurling (2). The principles and formulas set forth by these investigators have since undergone extensive scrutiny by theoretical analysis, in circulation models, and in vivo. As a result of th...

CONTEXT With heightened awareness of concussion, there is a need to assess and manage the concussed patient in a consistent manner. Unfortunately, concussion physical examination has not been standardized or supported by evidence. Important questions remain about the physical examination. EVIDENCE ACQUISITION Review of ClinicalKey, Cochrane, MEDLINE, and PubMed prior to July 2015 was performe...

It has been independently shown by Spurling, Shone, and Vaughan (1946), and by Truelove and Hogben (1947), that the use ofpooled serum or plasma, in contradistinction to whole blood from individual donors, increases the risk of hepatitis following blood transfusion. This conclusion raises the elementary statistical problem: how does reduction of the number of contributors to a blood pool dimini...

Tolysin, which is the ethyl ester of para methylphenyl cinchoninic acid, has recently been added to the list of remedies said to be useful in rheumatic fever. In the present study the effect of this drug was observed2 in cases of juvenile rheumatic fever, in which it is well known that joint symptoms are often minimal and that the carditis may be the most prominent feature. Its antipyretic and ...