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哈维·库欣的《脑膜瘤》文本与上矢状窦前三分之一可切除性标准的历史渊源。

Harvey Cushing's Meningiomas text and the historical origin of resectability criteria for the anterior one third of the superior sagittal sinus.

作者信息

Shrivastava Raj K, Segal Salomao, Camins Martin B, Sen Chandranath, Post Kalmon D

机构信息

Department of Neurosurgery, St Luke 's-Roosevelt Medical Center, New York New York 10019, USA.

出版信息

J Neurosurg. 2003 Oct;99(4):787-91. doi: 10.3171/jns.2003.99.4.0787.

Abstract

The search for the origin of the commonly held principle in current neurosurgery regarding the resectability of the anterior one third of the superior sagittal sinus unravels the many fascinating developments that occurred in neurosurgery during the early 20th century. All these occurrences can be traced back to, and are uniquely contextualized in, Harvey Cushing's seminal text, Meningiomas, Their Classification, Regional Behaviour, Life History, and Surgical End Results. Written with Louise Eisenhardt and published in 1938, Meningiomas is a monograph of incredible description and detail. The meticulous categorization of meningiomas, their presentation, clinical outcome, and surgical therapies are even further supplemented by Cushing's personal commentary, questions, and recollections. Cushing's genius was evident in his ability not only to make insightful clinical observations, but also to synthesize these ideas within the neurosurgical context of his era. As he says in Meningiomas, "Thus the pathological curiosity of one day becomes in its proper time a commonplace... most of which are one and the same disorder--had, for their interpretation, to await the advent of the Neurosurgeon."

摘要

探寻当前神经外科领域关于上矢状窦前三分之一可切除性这一普遍原则的起源,揭示了20世纪早期神经外科发生的许多引人入胜的发展。所有这些事件都可以追溯到哈维·库欣具有开创性的著作《脑膜瘤:它们的分类、局部表现、生长过程、手术结果》,并且在该书中有独特的背景描述。《脑膜瘤》由路易丝·艾森哈特合著,于1938年出版,是一本描述详尽、细节惊人的专著。库欣的个人评论、问题和回忆进一步补充了对脑膜瘤的细致分类、它们的表现、临床结果及手术治疗方法。库欣的天赋不仅体现在他能够做出有深刻见解的临床观察,还体现在他能够在其所处时代的神经外科背景下综合这些观点。正如他在《脑膜瘤》中所说:“因此,某一天的病理奇闻在适当的时候就变成了司空见惯之事……其中大多数都是同一种疾病——为了解释它们,不得不等待神经外科医生的出现。”

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