Cases of cervical spina bifida occulta, with and without trophic disturbances, although not frequent, are well known in the literature. The following case, however, is worthy of publication because of the great extent and unusual site of the trophic disturbances.
REPORT OF CASE
History.
—C. A., a boy, aged 10I/2 years, was the second child in a family of five, the first having died of meningitis at the age of 7I/22 months; the other three children are living and in good health. A brother of the mother formerly suffered with epileptic convulsions. The patient, born at term, presented at birth a cervicodorsal rhachischisis which extended upward and forward to the two fontanels and downward to the ninth dorsal vertebra, together with an area of intense pigmentation extending from the nape of the neck to the lower angles of the scapulas and covering the entire scapular region on both sides. At