Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois 60612, USA.
Neurosurgery. 2012 Mar;70(3):774-82. doi: 10.1227/NEU.0b013e3182351699.
Frederic Gibbs' (1903-1992) long research career was devoted to the understanding and treatment of epileptic phenomena and closely associated with the development of electroencephalography (EEG). After medical school, he joined the Harvard Neurological Unit at Boston City Hospital directed by Stanley Cobb. In the early 1930s, Gibbs developed a thermoelectric blood flow probe and, with William Lennox, proved in animals and humans that a seizure increases cerebral blood flow. By 1934, Gibbs became a pioneer in the field of EEG while working at Harvard with Hallowell Davis and Lennox, and was the first to convincingly record and report EEG findings in epilepsy and states of altered consciousness. Several years later, Gibbs and Lennox were the first to recommend cerebral excisions in several patients with uncontrolled epilepsy based on EEG. Moving to the University of Illinois at Chicago in 1944, Gibbs founded a consultation clinic for epilepsy, performed the first EEG depth recordings using pneumoencephalography-guided stereotaxy, and noted that sleep EEGs in patients with psychomotor seizures frequently disclosed temporal epileptic patterns. Gibbs convinced Percival Bailey to collaborate on patients with refractory temporal lobe psychomotor seizures without tumors. In 1947, the first nonlesional temporal lobe excisions based on EEG localization were performed in these patients, and, by 1948, anterior temporal lobectomy had become their procedure of choice. Gibbs and Lennox received the coveted Lasker Award among other honors as pioneers in establishing the modern era of epilepsy diagnosis and treatment.
弗雷德里克·吉布斯(1903-1992 年)的长期研究生涯致力于理解和治疗癫痫现象,并与脑电图(EEG)的发展密切相关。医学院毕业后,他加入了由斯坦利·科布(Stanley Cobb)领导的波士顿城市医院的哈佛神经科。在 20 世纪 30 年代早期,吉布斯开发了一种热电血流探头,并与威廉·伦诺克斯(William Lennox)一起证明,癫痫发作会增加脑血流量。到 1934 年,吉布斯在哈佛与哈洛威尔·戴维斯(Hallowell Davis)和伦诺克斯(Lennox)一起成为 EEG 领域的先驱,并首次令人信服地记录和报告了癫痫和意识改变状态中的 EEG 发现。几年后,吉布斯和伦诺克斯是根据 EEG 首次推荐对几名无法控制癫痫的患者进行脑切除的人。1944 年搬到伊利诺伊大学芝加哥分校后,吉布斯成立了癫痫咨询诊所,首次使用气脑造影引导立体定向进行 EEG 深度记录,并注意到精神运动性癫痫患者的睡眠 EEG 经常显示颞叶癫痫模式。吉布斯说服珀西瓦尔·贝利(Percival Bailey)合作治疗没有肿瘤的难治性颞叶精神运动性癫痫患者。1947 年,在这些患者中首次根据 EEG 定位进行了非病变性颞叶切除,到 1948 年,前颞叶切除术已成为他们的首选手术。吉布斯和伦诺克斯因在癫痫诊断和治疗的现代时代建立方面的先驱而获得了梦寐以求的拉斯克奖和其他荣誉。