Long D M
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
J Neurosurg. 1989 Nov;71(5 Pt 1):635-8. doi: 10.3171/jns.1989.71.5.0635.
Neurosurgical admissions to The Johns Hopkins Hospital during the first year of its existence, the first and last years of Harvey Cushing's practice, the last years of Walter Dandy's practice, the last years of Earl Walker's tenure, and the current neurosurgical case load are reviewed. Sixteen patients with neurosurgical problems were admitted during the first year of the hospital's existence. In the first year of Harvey Cushing's staff appointment, 38 neurosurgical patients were admitted. Infection, trauma, and trigeminal neuralgia were the most common neurosurgical problems at that time. When Harvey Cushing retired in 1912, his practice had grown to 100 operations per year. By the end of Walter Dandy's tenure, the surgical volume was much larger, more than 500 major operations per year. The development of neurosurgery virtually can be mirrored in the practice of neurosurgery under Harvey Cushing and Walter Dandy. From its humble beginnings in the treatment of trauma and infection, neurosurgery has expanded to cover all forms of intracranial disease, virtually every aspect of spinal disease, vascular disease (both intracranial and extracranial), and peripheral nerve injury. The centennial celebration at Johns Hopkins may be considered a centennial for neurosurgery. As we reflect upon our foundations, it is worthwhile to ask what changes we will contribute to the further development of neurosurgery in the next century.
回顾了约翰·霍普金斯医院成立第一年、哈维·库欣执业的第一年和最后一年、沃尔特·丹迪执业的最后几年、厄尔·沃克任期的最后几年以及当前神经外科的病例量。医院成立第一年收治了16例有神经外科问题的患者。哈维·库欣任职第一年，收治了38例神经外科患者。感染、创伤和三叉神经痛是当时最常见的神经外科问题。1912年哈维·库欣退休时，他每年的手术量已增至100例。到沃尔特·丹迪任期结束时，手术量大幅增加，每年超过500例大手术。神经外科的发展实际上可以从哈维·库欣和沃尔特·丹迪时期的神经外科实践中得到体现。从最初治疗创伤和感染的简陋开端，神经外科已扩展到涵盖所有形式的颅内疾病、几乎所有方面的脊柱疾病、血管疾病（颅内和颅外）以及周围神经损伤。约翰·霍普金斯医院的百年庆典可被视为神经外科的百年庆典。当我们回顾我们的基础时，值得思考我们将为下个世纪神经外科的进一步发展做出哪些改变。
