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ERNEST BORS, M.D.; JOHN D. FRENCH, M.D.

AMA Arch Surg. 1952;64(6):803-812.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

PATHOLOGIC autonomic reflex mechanisms which accompany injuries to the cervical and upper thoracic segments of the spinal cord have been observed and described and their clinical manifestations studied by means of physiologic investigations during the period following the first and second world wars.¹ Many pathophysiologic phenomena were explained; yet no therapeutic effort was reported to eliminate permanently the most dangerous of these, namely, paroxysmal hypertension, which is caused by distention of hollow viscera and which threatens the life of the patient. The present study was stimulated by a previous observation² on three cases in which pathologic autonomic reflexes became suppressed after the subarachnoid injection of absolute alcohol administered in order to abolish skeletal spasticity.³ Since subarachnoid alcohol block interrupts both afferent and efferent pathways below the level of injection, posterior rhizotomy at segments which supply the highly reflexogenic areas of the genitalia, bladder, and rectum would be . . . [Full Text PDF of this Article]

Author Affiliations
LOS ANGELES

From the Paraplegic and Neurosurgical Services of the Veterans Administration Hospital, Long Beach, and the Department of Surgery, University of California School of Medicine at Los Angeles.

Footnotes
Dr. John H. McGirr assisted in evaluating the patients.

Reviewed in the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the authors are the result of their own study and do not necessarily reflect the opinion or policy of the Veterans Administration.

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