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两位重要意大利政治领导人的蛛网膜下腔出血管理:过去半个世纪神经外科伦理与技术演变的一个范例

Management of Subarachnoid Hemorrhage in Two Important Italian Political Leaders: A Paradigm of Ethical and Technological Evolution of Neurosurgery During the Past Half-Century.

作者信息

Longatti Pierluigi, Giombelli Ermanno, Pavesi Giacomo, Carteri Alessandro, Feletti Alberto

机构信息

Department of Neurosurgery, Treviso Hospital - University of Padova, Padova, Italy.

Department of Special Surgeries, Unit of Neurosurgery, University Hospital of Parma, Parma, Italy.

出版信息

World Neurosurg. 2016 Aug;92:559-564. doi: 10.1016/j.wneu.2015.12.089. Epub 2016 Jan 14.

DOI:10.1016/j.wneu.2015.12.089
PMID:26775232
Abstract

For a curious and extraordinary coincidence, 5 of the 7 most relevant leaders of the Italian Communist Party (Partito Comunista Italiano, which was established in 1921, has been the biggest Communist Party in Western Countries) suffered a cerebral stroke. Cerebrovascular diseases afflicted also Stalin and Lenin, and a number of Presidents of the United States. We present the stories of 2 important Italian political leaders who shared both the leadership role of the major left Italian Party and the dramatic experience of a subarachnoid hemorrhage. Retracing their medical incidents, separated by 50 years of history, we show how a fatal medical disease has become neurosurgical and successfully cured thanks to the advances of neurosurgery, neuroradiology, and hospital organization. A neurologic disease that was disgraceful 50 years ago has lost any disquieting and embarrassing significance in the present time to the light of evolution of vascular neurosurgery.

摘要

一件奇特而惊人的巧合是,意大利共产党(成立于1921年,曾是西方国家最大的共产党)的7位最具影响力的领导人中有5位曾患脑中风。脑血管疾病也曾折磨过斯大林、列宁以及多位美国总统。我们讲述两位重要的意大利政治领导人的故事,他们既在意大利主要左翼政党中担任领导角色,又都经历了蛛网膜下腔出血这一戏剧性事件。回顾他们相隔50年历史的医疗事件,我们展示了一种致命的疾病如何借助神经外科、神经放射学和医院组织的进步,成为可通过神经外科手术成功治愈的疾病。一种在50年前令人耻辱的神经系统疾病,在血管神经外科的发展之下,如今已失去了任何令人不安和尴尬的意味。

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