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中世纪、文艺复兴时期和巴洛克艺术中的巴宾斯基征。

Babinski's sign in medieval, Renaissance, and baroque art.

作者信息

Massey E W, Sanders L

机构信息

Division of Neurology, Duke University Medical Center, Durham, NC.

出版信息

Arch Neurol. 1989 Jan;46(1):85-8. doi: 10.1001/archneur.1989.00520370087025.

Abstract

In 1896, Joseph François Babinski first described his well-known sign of dorsiflexion of the big toe on stimulating the sole of the foot. However, unknown to Babinski, several painters had previously demonstrated this phenomenon in their paintings. Sandro Botticelli (1445-1510), a Florentine Renaissance painter, demonstrated this reflex in his Madonna and Child with Angels 400 years before the publication of Babinski's discovery. Botticelli used live infants as models for his paintings. Gentile da Fabriano (d 1427) in his Adoration of the Kings, demonstrates a similar response of toe extension in the infant Jesus when one of the Magi kisses the baby's foot. Similarly, Jacob Schick von Kempter, a 16th century German painter, in his Coronation of the Virgin demonstrates the extensor plantar response in the infant. Correggio (1492-1534), in northern Italy captured the extension and flare of the baby's toes in his Madonna and Child with Mary Magdalen. Raphael (1483-1520) presented the extensor plantar responses in the child when sole pressure is applied in Small Cowper Madonna. Leonardo da Vinci, with his nude model drawings (1503-1507) seemed to have been aware of this response. There is no indication that any of these artists fully understood the physiology behind the response; therefore, the value of this sign in neurologic disease must still rely on Babinski's demonstration several hundred years after its initial demonstration in artistic literature.

摘要

1896年,约瑟夫·弗朗索瓦·巴宾斯基首次描述了他那著名的体征:刺激足底时大脚趾背屈。然而,巴宾斯基不知道的是,此前几位画家已在他们的画作中展示过这一现象。桑德罗·波提切利(1445 - 1510),一位佛罗伦萨文艺复兴时期的画家,在巴宾斯基发现这一体征的400年前,就在他的《圣母子与天使》中展示了这种反射。波提切利以活婴为绘画模特。真蒂莱·达·法布里亚诺(卒于1427年)在他的《三王来朝》中,当其中一位智者亲吻婴儿耶稣的脚时,展示了婴儿耶稣类似的脚趾伸展反应。同样,16世纪德国画家雅各布·施克·冯·肯普特在他的《圣母加冕》中也展示了婴儿的跖伸反应。科雷乔(1492 - 1534),在意大利北部,在他的《圣母子与抹大拉的马利亚》中捕捉到了婴儿脚趾的伸展和张开。拉斐尔(1483 - 1520)在《小考珀圣母》中描绘了施加足底压力时孩子的跖伸反应。列奥纳多·达·芬奇,凭借他的裸体模特画作(1503 - 1507)似乎已经意识到了这种反应。没有迹象表明这些艺术家中有任何人完全理解了这种反应背后的生理学原理;因此,这一体征在神经系统疾病中的价值,在其最初在艺术文献中展示数百年后,仍必须依赖巴宾斯基的论证。

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