Otfrid Foerster - Life

Life

Foerster was born in Breslau to Richard Foerster, and studied in the Maria Magdalenen Gymnasium, graduating 1892. From 1892 to 1896 he studied medicine in Freiburg, Kiel and Breslau, obtaining his licensure by state examination in 1897 and his doctorate in the same year. Upon completion of the doctoral studies, he spent two years studying abroad, following a suggestion by Karl Wernicke (1848-1905): in the summer he went to Paris, studying with Joseph Jules Dejerine and attending classes by Pierre Marie and Joseph Babinski (1857-1932); and in the summer with Heinrich Frenkel in Switzerland, in order to study physical therapy of neurological patients there.

Foerster's student years occurred in a time when neurology was starting to develop independently from internal medicine and psychiatry under the influence of, among others, Jean-Martin Charcot (1825-1893), Wilhelm Heinrich Erb, William Richard Gowers (1845-1912) and particularly Karl Wernicke, who became well known by his direction toward functional localization approaches. By cooperating with Wernike, Foerster's great interest on the anatomy of the central nervous system was excited. The two researchers published together in 1903 an anatomical atlas of the brain (Atlas des Gehirns). At the time, the several schools of neurology were focused essentially on to diagnosis; because achieving an effective therapy was hardly possible. It was Foerster who took forward the idea of using physical therapy as a new way of treating patients with neurological disturbances. From this work arose his theoretical interest on the disturbances of motor coordination in the execution of movements: this resulted in the topic of his dissertation in 1902, a work which attained a great actuality in connection with the systematic introduction of rehabilitation medicine into neurology. The involvement of spinal reflexes in the genesis of muscular spasticity suggested its possible treatment by surgical interruption of the sensory branch of the thoracic and lumbar nerves (rhizotomy), and Foerster developed in 1908 an operation to cut the posterior sensory root in order to alleviate spasticity.

In 1915 Foerster first reported on his innovative results concerning the surgical treatment of nerve damage by shot wounds, as well as other kinds of spinal cord and brain damage. In the time between the two world wars (1925 to 1935) Breslau became a place of attraction for training neurologists and neurosurgeons, particularly those coming from the USA. One of his early students coming from that part of the world was Wilder Penfield (1891-1976), who continued Foerster's work on the analysis of the cerebral cortex's command of movement and the study of epilepsy. Other students were Percival Bailey, who developed a new classification of brain tumors, and Paul Bucy, discoverer of the famous Klüver-Bucy syndrome, who made fundamental work on the organization of motor cortex, and Robert Wartenberg (1897-1956, discoverer of the Wartenberg's syndrome).

One of Foerster's important methods was to use local aneaestesia to keep brain surgery patients awake. While they lay there, Foerster would poke at their brain with an electronic needle, and use the subsequent motor reactions (hand movement, finger movement, etc.) to learn about the brain's motor cortex.