Flamm E S
Division of Neurosurgery, University of Pennsylvania, Phildelphia.
J Neurosurg. 1992 Feb;76(2):319-26. doi: 10.3171/jns.1992.76.2.0319.
This paper examines neurosurgery in the 18th century and suggests that the origins of the specialty can be recognized at the time when surgeons began to use the neurological status of the patient as a guide for surgical intervention. Percivall Pott (1714-1788) was one of the leading surgeons in London in the 18th century. He is remembered through eponyms of Pott's puffy tumor, Pott's fracture, and Pott's disease. A review of his writings and those of his contemporaries indicates that these surgeons were aware of the importance of changes in level of consciousness after head injury. The recognition and significance of the lucid interval was described and understood as a neurosurgical sign in the 18th century. Because of Pott's pre-eminence in the surgery of his time through his writings and lectures, he should be considered one of the founders of neurosurgery as a separate surgical discipline.
本文探讨了18世纪的神经外科手术，并指出当外科医生开始将患者的神经状态作为手术干预的指导时，该专业的起源就已可被识别。珀西瓦尔·波特（1714 - 1788）是18世纪伦敦的杰出外科医生之一。他因波特氏头皮下血肿、波特氏骨折和波特氏病等以他名字命名的病症而被人们铭记。对他及其同时代人著作的回顾表明，这些外科医生已经意识到头部受伤后意识水平变化的重要性。清醒期的识别及其意义在18世纪就被描述并理解为一种神经外科体征。由于波特通过其著作和讲座在当时的外科领域享有卓越地位，他应被视为神经外科作为一门独立外科学科的创始人之一。
