Kinsman Michael, Pendleton Courtney, Quinones-Hinojosa Alfredo, Cohen-Gadol Aaron A
University of Louisville Department of Neurosurgery, Louisville, KY, USA.
J Hist Neurosci. 2013;22(1):96-115. doi: 10.1080/0964704X.2012.671050.
The evolution of techniques to manage patients with head injuries has served as the basis for the treatment of other neurosurgical disorders, including brain tumors, intracranial infections, and cerebrovascular disease. In the nineteenth century, advances in anesthesia, asepsis, and cerebral localization slowly took hold and created the groundwork for modern neurosurgery. To better understand the advances in the treatment of brain injuries in the late 1800s and early 1900s, we examine relevant historical literature and, through the courtesy of the Alan Mason Chesney Medical Archives, we review Dr. Harvey Cushing's patient records (1898-1909) in the Johns Hopkins Hospital surgical archives. The original case histories of 10 patients (6 in detail) who suffered head injuries and underwent treatment by Cushing illustrate some of Cushing's early attempts at intracranial surgery. We also examine the influences on Cushing as he developed into a leader in the new era of modern neurosurgery.
治疗头部受伤患者的技术演变已成为治疗其他神经外科疾病（包括脑肿瘤、颅内感染和脑血管疾病）的基础。在19世纪，麻醉、无菌技术和脑定位方面的进展逐渐站稳脚跟，为现代神经外科奠定了基础。为了更好地了解19世纪末20世纪初脑损伤治疗的进展，我们查阅了相关历史文献，并承蒙艾伦·梅森·切斯尼医学档案馆的帮助，查阅了约翰·霍普金斯医院外科档案中哈维·库欣医生（1898 - 1909年）的患者记录。库欣治疗过的10例头部受伤并接受治疗的患者（其中6例详细记录）的原始病历，展示了库欣早期在颅内手术方面的一些尝试。我们还研究了库欣成长为现代神经外科新时代领军人物过程中受到的影响。
