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The condition described in this case is evidently a vasospastic disturbance of the peripheral circulation. The treatment employed consisted of laminectomies in the lumbosacral and the cervicodorsal regions and the removal at both levels, of masses of fat and fibrous tissue, situated in the spinal canal. The immediate result of the operations was an improvement in the circulatory condition of the extremities, with a rapid healing of the gangrenous areas. With the exception of a brief recurrence of the vascular dysfunction, the result at the end of one year is very satisfactory.
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© 1936 Published by Elsevier Inc.