To the Editor:— My preliminary note on the use of spinal anesthesia in hypertension (The Journal, Oct. 28, 1933, p. 1410) has apparently served to arouse considerable interest in this subject if I may judge from the number of favorable communications that have been received. The objection of Dr. L. J. Bragman (The Journal, Dec. 16, 1933, p. 1985) to this method on the "theory that lowering blood pressure in persons with hypertension and arteriosclerosis may bring on attacks of hemiplegia and aphasia" is perhaps more academic than real. In my own series of 3,000 spinal anesthetic records, I did not encounter a single instance of hemiplegia, aphasia or convulsions. Dr. Lazarus (Lazarus, J. A.; Pick, C. J., and Rosenthal, A. A.: Tropacocaine Hydrochloride in Spinal Anesthesia, Ann Surg. 97:757 [May] 1933) tells me that in his series of 2,500 cases he has never seen this particular type of complication. Dr. H. C. Falk (Death from Spinal Anesthesia, Am. I. Surg. 9:461 [March] 1931), in his series of 4,000 spinal anesthesias, has written to tell me that he likewise