The Chadwick Lecture ON MENTAL HYGIENE AND SHELL SHOCK DURING AND AFTER THE WAR

and spinal paralysis wlhich show a tendenev to an ascending course lhave been in fact included in Landlry's paralysis, but it is now generally accepted that this. term slhould be restricted to acondition wlhieh begins with a progressive paralysis of the lower limbs that rapidly ascends and involves the trunk muscles, later those of the arms. and as a rule leads to a fatal termination from respiratory palsy before the cranial nerves are affected. Objective sensory disturbances are also very slight or absent, and the sphincters are rarely involved. '