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历史轶事。神经外科医生中的神经外科医生:库欣为彭菲尔德做手术。

Historical vignette. The neurosurgeon's neurosurgeon: cushing operates on a Penfield.

作者信息

Rossitch E, Moore M R, Alexander E, Black P M

机构信息

Division of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts.

出版信息

Surg Neurol. 1990 Feb;33(2):150-3. doi: 10.1016/0090-3019(90)90026-l.

Abstract

In his autobiography, Dr. Wilder Penfield relates the medical history of his sister, Mrs. Ruth Inglis, who developed a right frontal oligodendroglioma. Penfield performed the initial craniotomy on her, and after her death, reported the case in a paper on frontal lobe function in humans. Although Penfield has provided more than adequate information on certain aspects of his sister's illness, little has been published concerning her subsequent operation performed by Dr. Harvey Cushing at the Peter Bent Brigham Hospital. We feel this case is significant for several reasons. First, it sheds some light on Penfield's personal relationship with Cushing and his sister; it also shows the deep interest that Dr. Cushing took in his patients. Second, this case nicely illustrates how Cushing used his postoperative drawings to make his operative notes more precise. Finally, we see a sample of the work done by Dr. Louise Eisenhardt as pathologist at the Peter Bent Brigham Hospital.

摘要

怀尔德·彭菲尔德医生在其自传中讲述了他妹妹露丝·英格利斯夫人的病史,她患了右侧额叶少突胶质细胞瘤。彭菲尔德为她做了首次开颅手术,在她去世后,在一篇关于人类额叶功能的论文中报告了该病例。尽管彭菲尔德已就其妹妹病情的某些方面提供了足够多的信息,但关于她后来在彼得·本特·布里格姆医院由哈维·库欣医生实施的手术,却鲜有报道。我们认为这个病例因几个原因而意义重大。首先,它揭示了彭菲尔德与库欣以及他妹妹之间的个人关系;它还展现了库欣医生对他的患者的浓厚兴趣。其次,这个病例很好地说明了库欣如何利用他术后的绘图使他的手术记录更加精确。最后,我们看到了路易丝·艾森哈特医生作为彼得·本特·布里格姆医院病理学家所做工作的一个样本。

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