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As regards the last-mentioned cause of sudden death, it must be remembered that as the phrenic nerve arises from the third, fourth, and tifth cervical nerves, so any severe injury to the cord above the origin of the third nerve will produce instant death, by suddenly paralyzing the diaphragm and intercostal muscles; while if the injury occurs below the sixth vertebra the patient may live for some hours, if not days, although the action of the greater number of the intercostal muscles must be wholly or partially arrested. The results have been, as might be anticipated; the first case of real difficulty, or perhaps the second, terminating alike the operator's zeal and his success.
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