A 19 year old woman developed an acute ascending tetraplegia, for which no reason could be found. 9 months later the patient died from a septicemia starting from a decubitus. Postmortem examination showed an occlusion of a medullary artery by emboli of nucleus pulposus tissue. A survey is given of similar cases reported in the literature and the cause of the embolism discussed. It seems most probable that invasion of the misshapen vessel by tissue from a pathological nucleus pulposus was responsible.

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