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[1960年后德国神经病学的发展]

[Development of neurology in Germany after 1960].

作者信息

Dichgans J

机构信息

-, Bei der Ochsenweide 6, 72076, Tübingen, Deutschland.

出版信息

Nervenarzt. 2013 Dec;84(12):1512-22. doi: 10.1007/s00115-013-3922-5.

Abstract

The still continuing accelerated development of neurology in Germany is described in this article by a contemporary witness who was active in this field from 1965 to 2005. The personal experiences of the author are obviously only reflected over these 40 years so that the glorious antecedents in the period up to 1933, the era in which our predecessors were the world leaders in neurology, is not sufficiently covered. This dominance was lost by the anti-Semitism during the era of National Socialism and the sequelae of World War II. As a result of the war, German neurologists became effectively isolated and their participation in international congresses was forbidden so that a gradual reestablishment of alignment only became possible after 1960. In this brief description no attempt at completeness has been made and only subjectivity and brevity have been considered. An attempt is made to retrospectively convey what essentially happened. An exact dating of advances over the period was sometimes difficult. The readership will have the opportunity to share the surprise of the author on how meagre the neurological knowledge and diagnostic methods were 50 years ago, how rapidly the subsequent development happened, how rapidly things became obvious which 20 years ago nobody was aware of and despite the progress how pleased we were to find ourselves at the most recent state of error and probably still find ourselves nowadays. In particular, how powerless and untested the therapeutic efforts were at that time. The progress can only be measured by a comparison between then, 50 years ago and the present. A projection of the future based on these experiences is not attempted but it seems to be certain that many conceptions, diagnostic advances and therapy options are still undiscovered and that further exciting times can be expected.

摘要

本文由一位在1965年至2005年活跃于该领域的当代见证者描述了德国神经病学仍在持续的加速发展。作者的个人经历显然仅反映了这40年的情况,因此对于1933年之前那段辉煌的历史,即我们的前辈在神经病学领域处于世界领先地位的时代,并未得到充分涵盖。这种主导地位在纳粹主义时代的反犹主义以及第二次世界大战的后果中丧失了。由于战争,德国神经科医生实际上被孤立,他们参加国际大会被禁止,因此直到1960年之后才有可能逐步重新建立联系。在这一简短描述中,并未试图做到全面,仅考虑了主观性和简洁性。试图回顾性地传达基本发生的事情。有时很难准确确定这一时期进展的日期。读者将有机会分享作者的惊讶,即50年前神经病学知识和诊断方法是多么匮乏,随后的发展是多么迅速,20年前无人知晓的事情是多么迅速地变得明显,以及尽管取得了进展,我们对于发现自己处于最近的错误状态是多么高兴,而且可能如今仍然如此。特别是,当时的治疗努力是多么无力且未经检验。这种进展只能通过与50年前的那时和现在进行比较来衡量。本文并未尝试基于这些经历对未来进行预测,但似乎可以肯定的是,许多概念、诊断进展和治疗选择仍未被发现,而且可以期待更加令人兴奋的时代。

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