Further evidence regarding the spinal cord paralyses following spinal anesthesia

Foster Kennedy, Abraham S. Effron
1952 Arquivos de Neuro-Psiquiatria  
Doctor Foster Kennedy is deeply sorry that he could not be here to address you on the subject of spinal cord paralyses following spinal anesthesia. This subject is very close to his mind and deep to his conscience. Only the most definite opinions of his physicians, who forbid him to make the journey, could persuade him against presenting such a serious problem to this fine audience, and especially to the surgeons, obstetricians and anesthetists who may be present. During the past 5 years,
more » ... past 5 years, detailed accounts of various types of spastic spinal paralyses brought on by the use of spinal anesthesia were published by Doctor Kennedy and his colleagues 1 1 2 at Bellevue Hospital. It is important at the outset to note that these sequelae of surgical and obstetrical procedures are not generally observed while the patient is in hospital, but are usually seen independently by the neurologist weeks or months after the patient has been discharged from hospital. The early complaints include numbness, weakness of feet and legs, sphincter loss and sensory loss often over periods of months. In the majority of cases symptoms are mild immediately after spinal anesthesia, and only proceed to a paralytic stage weeks or months later. Thus, the surgeons and anesthetists employing spinal anesthesia do not become aware of the grave results often emerging from their procedures. For a period of a few weeks after the publication of our article about the grave spinal cord paralyses caused by spinal anesthesia in October 1950 2 , we received 70 letters from people who became paralyzed follow- From the Neurological Service of Bellevue Hospital, New York, U.S.A. Nota da Redação -Este trabalho, o último escrito pelo Dr. Foster Kennedy e preparado para uma apresentação perante congresso médico, foi enviado ao Dr. L. Barraquer-Bordas pela viúva daquele pranteado neurologista, acompanhado das seguintes palavras que emprestam grande valor à sua publicação nesta revista: "As you probably know by now my dear husband, Foster Kennedy, was called away from us on the 7th of January of this year. In going through the correspondence which he had to leave unanswered, I found a letter from you asking that he should submit an original paper for the June issue of the ARQUIVOS DE NEURO-PSIQ.UIATRIA which is to be published in honour of your father. I am taking the liberty of enclosing the last paper which my husband wrote, which has not yet been published in this country. 1 should be very happy if you would use this article for my husband greatly respected your father".
doi:10.1590/s0004-282x1952000300009 pmid:13018032 fatcat:oe6t3nbkkvcadfjsznbqa6ugxu