Walusinski O
Cabinet privé, 20, rue de Chartres, 28160 Brou, France.
Rev Neurol (Paris). 2017 Jun;173(6):364-373. doi: 10.1016/j.neurol.2017.03.001. Epub 2017 Apr 1.
The trauma of World War I had a lasting impact on clinician and physiologist Jules Tinel (1879-1952). His treatment of peripheral nervous system injuries led him, in 1917, to describe the eponymous sign that he linked to activity of the sympathetic nervous system. Among the sequelae of nerve injuries, he was confronted with causalgia that he attributed, here again, to the autonomic nervous system, the main focus of his laboratory research throughout his career. Tinel's sign became so well known that it eclipsed the originality of his seminal descriptions of exertional headache and of hypertensive emergency caused by pheochromocytoma, which could also have been associated with his name. He was always able to marry his clinical practice of neurology and psychiatric consultations with his anatomicopathological, physiological and pathophysiological research, which was based on his daily practice as a physician. At the same time, he directed the work of numerous assistants in his research laboratory, which has since been unjustly forgotten. Several hundreds of scientific publications, including three seminal works, bear witness to his intense activity, which he combined with a genuine talent for teaching and making his findings accessible to a wider public. Those publications alone would fully justify the historical value of extending his renown beyond the existing eponym.
第一次世界大战的创伤对临床医生兼生理学家朱尔斯·蒂内尔(1879 - 1952)产生了持久影响。他对外周神经系统损伤的治疗使他在1917年描述了以他的名字命名的体征,他将其与交感神经系统的活动联系起来。在神经损伤的后遗症中,他遇到了灼性神经痛,他再次将其归因于自主神经系统,这也是他整个职业生涯实验室研究的主要焦点。蒂内尔征变得如此知名,以至于掩盖了他对运动性头痛和嗜铬细胞瘤引起的高血压急症的开创性描述的原创性,而这些也本可以与他的名字联系在一起。他始终能够将他的神经学临床实践和精神科会诊与基于他日常医生工作的解剖病理学、生理学和病理生理学研究相结合。与此同时,他指导了他研究实验室中众多助手的工作,而该实验室后来却被不公正地遗忘了。包括三部开创性著作在内的数百篇科学出版物见证了他的高强度工作,他将这些工作与真正的教学天赋以及让更广泛公众理解他的研究成果的能力结合在一起。仅凭这些出版物就完全有理由扩大他的声誉,使其超越现有的以他名字命名的体征,从而彰显其历史价值。