Tubbs R Shane, Vahedi Payman, Loukas Marios, Cohen-Gadol Aaron A
Pediatric Neurosurgery, Children's Hospital, Birmingham, AL, USA.
Childs Nerv Syst. 2011 Jun;27(6):995-9. doi: 10.1007/s00381-011-1437-6. Epub 2011 Apr 12.
As the founder of modern neurosurgery, Harvey Cushing is known for his innovations and treatment for many neurosurgical disorders. However, few are aware that Cushing treated childhood hydrocephalus. Examples of these treatments include the placement of ventriculo-subgaleal shunts, ventriculo-jugular shunts, ventriculo-superior sagittal sinus shunts, and at least 12 lumbar cistern-to-retroperitoneal shunts that, as he put it, had "a considerable measure of success." The authors wish to provide insight into Cushing's treatment of childhood hydrocephalus.
The authors review Cushing's writings on this topic.
The authors provide a window into this pioneer's early thinking on the physiology and production of cerebrospinal fluid.
Although decades went by before reliable treatments for hydrocephalus were established, Cushing pioneered both the thought processes and surgical options for this disease.
作为现代神经外科的奠基人，哈维·库欣以其在多种神经外科疾病治疗方面的创新而闻名。然而，很少有人知道库欣曾治疗过儿童脑积水。这些治疗方法包括脑室-帽状腱膜下分流术、脑室-颈静脉分流术、脑室-上矢状窦分流术，以及至少12例腰大池-腹膜后分流术，用他的话说，这些手术“取得了相当大的成功”。作者希望深入了解库欣对儿童脑积水的治疗。
作者回顾了库欣关于该主题的著作。
作者为这位先驱者对脑脊液生理学和产生机制的早期思考提供了一扇窗口。
尽管在可靠的脑积水治疗方法确立之前过去了几十年，但库欣开创了针对这种疾病的思维过程和手术选择。
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