[History of world neurosurgery]
- PMID: 28810347
- DOI: 10.3760/cma.j.issn.0255-7053.2017.03.006
[History of world neurosurgery]
Abstract
In 5000 BC, South American tribes digged the bones in the living head to seek ways to communicate with the gods, which was primitive trephination and may be the first neurosurgical behavior. In 2600 BC, Imhotep in ancient Egypt took the brain out of the head from the nose, for a better preserve of the mummy, which was a prototype of modern transsphenoidal surgery. And the development of anatomy in ancient Greek laid a solid foundation for neurosurgery. From 500 to 1500 AD, the rise of religion and the occurrence of war, prompted a large number of craniocerebral trauma, which contributed greatly to the early development of neurosurgery as a distinct specialty. In 1861, Brocca astutely localized the language function to the third left frontal convolution in a series of studies, which was considered to be of landmark importance in the understanding of cerebral localization. In 1878, William Macewen performed a successful surgery to remove an en plaque meningioma with intrathecal anesthesia, representing the first modern neurosurgical operation. However, the contributions of the Americans, starting with Harvey Cushing, exerted a definitive force. Portuguese Moritz performed the first cerebral angiogram on a living schizophrenia patient in 1926. And he established the Moniz-Lima prefrontal leucotomy for the treatment of schizophrenia, for which he won the Nobel Prize in Physiology and Medicine in 1949. In 1968, the Swiss scholar Yassagir firstly carried out neurosurgical surgeries under the microscope. China's neurosurgery was founded by Zhao Yicheng in 1952 in Tianjin, and the gap in neurosurgery between China and the world gradually narrowed after 60 years of development.
公元前5000年,南美洲部落为寻求与神灵沟通的途径,在活人头上开凿去骨,有可能是最早的神经外科手术行为。公元前2600年,古埃及的伊姆霍特普为了更好的保存木乃伊,而采取经鼻取脑,成为现代经鼻蝶手术的雏形。古希腊时期的解剖学为神经外科奠定了基础。500—1500年,宗教的兴起以及战争的发生,促使大量的颅脑外伤出现,使神经外科开始成为一门独立的学科。1861年,布罗卡发现运动语言区,对大脑的认识开始从形态学向功能转变。1878年,麦克文实施了第1例插管麻醉下的脑膜瘤切除术,标志现代神经外科的开始。而真正将神经外科手术推到一个新高度的,是美国神经外科医生哈维·库欣。发明了脑血管成像技术的葡萄牙人莫里茨,通过手术治疗精神分裂症患者的方法获得了1949年诺贝尔生理及医学奖。1968年,瑞士学者亚萨吉尔首先开展显微镜下神经外科手术操作。中国的神经外科于1952年由赵以成在天津创建,经过60年发展,中国与国外的差距逐渐缩小。.
Keywords: Harvey Cushing; Neurosurgery; William Macewen; Zhao Yicheng,.
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