The National Hospital for Neurology and Neurosurgery Queen Square London and the Reta Lila Weston Institute for Neurological Studies, University College London, UK.
Brain. 2012 Oct;135(Pt 10):3165-77. doi: 10.1093/brain/aws029. Epub 2012 Mar 6.
On 10 May 1893, William Gowers began a series of weekly clinical demonstrations at the National Hospital for the Relief and Cure of the Paralysed and Epileptic at Queen Square, London. The contents of some of these demonstrations were published as 'Post-graduate Clinical Lectures' in the Clinical Journal, and in other learned periodicals. Some were also later included in his book Clinical Lectures on Diseases of the Nervous System. Recently, the manuscripts of what appear to be verbatim transcripts of two further but unpublished demonstrations from Gowers' course in 1895 came to light, one containing alterations made in Gowers' handwriting. The first concerned a case of disseminated sclerosis and its differentiation from hysterical paraplegia, the second transverse myelitis and its consequences for bladder function. Why these lectures were never published remains uncertain, but their relatively unedited contents reveal something of the neurological knowledge, diagnostic reasoning, clinical examination and teaching methods employed by one of the great pioneers of clinical neurology.
1893 年 5 月 10 日，威廉·格罗斯（William Gowers）开始在伦敦皇后广场的国立神经病医院（National Hospital for the Relief and Cure of the Paralysed and Epileptic）每周进行一次临床示范。其中一些示范的内容作为“研究生临床讲座”在《临床杂志》（Clinical Journal）和其他学术期刊上发表。有些后来也被收录在他的《神经系统疾病临床讲座》（Clinical Lectures on Diseases of the Nervous System）一书中。最近，又发现了格罗斯在 1895 年课程中另外两次未经发表的示范的完整文字记录，其中一次记录中有格罗斯手写的修改。第一个涉及散发性硬化症及其与癔症性截瘫的区别，第二个涉及横贯性脊髓炎及其对膀胱功能的影响。这些讲座为何从未出版仍不确定，但它们相对未经编辑的内容揭示了这位临床神经病学伟大先驱之一所运用的神经学知识、诊断推理、临床检查和教学方法。
