Pendleton Courtney, Raza Shaan M, Gallia Gary L, Quiñones-Hinojosa Alfredo
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Skull Base. 2011 Jul;21(4):271-6. doi: 10.1055/s-0031-1280683.
In this report, we review Dr. Cushing's early surgical cases at the Johns Hopkins Hospital, revealing details of his early operative approaches to tumors of the skull base and cranial vault. Following Institutional Review Board approval, and through the courtesy of the Alan Mason Chesney Archives, we reviewed the Johns Hopkins Hospital surgical files from 1896 to 1912. Participants included four adult patients and one child who underwent surgical resection of bony tumors of the skull base and the cranial vault. The main outcome measures were operative approach and condition recorded at the time of discharge. The indications for surgery included unspecified malignant tumor of the basal meninges and temporal bone, basal cell carcinoma, osteoma of the posterior skull base, and osteomas of the frontal and parietofrontal cranial vault. While Cushing's experience with selected skull base pathology has been previously reported, the breadth of his contributions to operative approaches to the skull base has been neglected.
在本报告中，我们回顾了库欣医生在约翰霍普金斯医院早期的外科手术病例，揭示了他早期对颅底和颅顶肿瘤的手术方法细节。经机构审查委员会批准，并承蒙艾伦·梅森·切斯尼档案馆的好意，我们查阅了约翰霍普金斯医院1896年至1912年的外科手术档案。参与者包括4名成年患者和1名儿童，他们接受了颅底和颅顶骨肿瘤的手术切除。主要观察指标为手术方式和出院时记录的病情。手术适应症包括未明确的基底脑膜和颞骨恶性肿瘤、基底细胞癌、后颅底骨瘤以及额部和额顶部颅顶骨瘤。虽然库欣在特定颅底病理学方面的经验此前已有报道，但他对颅底手术方法的贡献广度却被忽视了。
