When dragged from beneath the train, his upper extremities were paralyzed.

At noon the next day, nineteen hours after the accident, examination revealed bruises over the body, and he suffered intense pain at the back of the neck and base of the skull.
Posteriorly, the neck presented a natural appearance; but anteriorly, to use the author's description, his neck resembled a combined case of mumps and goiter.

The sternomastoid muscle bulged at the angle of the jaw, and was flaccid, and his "Adam's apple" was on a level with the chin.

Sensation in the upper extremities was partially restored, and, although numb, he now had power of movement in the arms and hands, but could not rotate his neck.

A diagnosis of cervical dislocation was made, and violent extension, with oscillation forward and backward, was practiced, and the abnormal appearance subsided at once.