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桑格·布朗和爱德华·谢弗在海因里希·克吕弗和保罗·布西之前:他们对双侧颞叶切除的观察。

Sanger Brown and Edward Schäfer before Heinrich Klüver and Paul Bucy: their observations on bilateral temporal lobe ablations.

机构信息

Department of Neurosurgery, University of Illinois at Chicago, Illinois; and.

Department of Neurosurgery, NYU Langone Medical Center, New York, New York.

出版信息

Neurosurg Focus. 2017 Sep;43(3):E2. doi: 10.3171/2017.6.FOCUS17265.

Abstract

Fifty years before a report on the complete bitemporal lobectomy syndrome in primates, known as the Klüver-Bucy syndrome, was published, 2 talented investigators working at the University College in London, England-neurologist Sanger Brown and physiologist Edward Schäfer-also made this discovery. The title of their work was "An investigation into the functions of the occipital and temporal lobes of the monkey's brain," and it involved excisional brain surgery in 12 monkeys. They were particularly interested in the then-disputed primary cortical locations relating to vision and hearing. However, following extensive bilateral temporal lobe excisions in 2 monkeys, they noted peculiar behavior including apparent loss of memory and intelligence resembling "idiocy." These investigators recognized most of the behavioral findings that later came to be known as the Klüver-Bucy syndrome. However, they were working within the late-19th-century framework of cerebral cortical localizations of basic motor and sensory functions. Details of the Brown and Schäfer study and a glimpse of the neurological thinking of that period is presented. In the decades following the pivotal work of Klüver and Bucy in the late 1930s, in which they used a more advanced neurosurgical technique, tools of behavioral observations, and analysis of brain sections after euthanasia, investigators have elaborated the full components of the clinical syndrome and the extent of their resections. Other neuroscientists sought to isolate and determine the specific temporal neocortical, medial temporal, and deep limbic structures responsible for various visual and complex behavioral deficits. No doubt, Klüver and Bucy's contribution led to a great expansion in attention given to the limbic system's role in action, perception, emotion, and affect-a tide that continues to the present time.

摘要

在报告灵长类动物双侧颞叶切除术综合征(即 Klüver-Bucy 综合征)完整内容的 50 年前,两位在英国伦敦大学学院工作的才华横溢的研究人员——神经学家 Sanger Brown 和生理学家 Edward Schäfer——也有了这一发现。他们的研究报告题为“对猴脑枕叶和颞叶功能的研究”,涉及对 12 只猴子进行的切除性脑外科手术。他们特别关注当时存在争议的与视觉和听觉相关的初级皮质定位。然而,在对 2 只猴子进行广泛的双侧颞叶切除后,他们观察到了奇特的行为,包括明显的记忆和智力丧失,类似于“白痴”。这些研究人员识别出了后来被称为 Klüver-Bucy 综合征的大部分行为发现。然而,他们的工作是基于大脑皮质对基本运动和感觉功能的定位的 19 世纪晚期框架。本文介绍了 Brown 和 Schäfer 研究的细节以及当时的神经学思维。在 20 世纪 30 年代后期,Klüver 和 Bucy 进行了具有里程碑意义的工作,他们使用了更先进的神经外科技术、行为观察工具以及安乐死后对脑切片的分析,在这之后的几十年里,研究人员详细阐述了该临床综合征的全部组成部分及其切除范围。其他神经科学家试图分离并确定负责各种视觉和复杂行为缺陷的特定颞叶新皮质、内侧颞叶和深部边缘结构。毫无疑问,Klüver 和 Bucy 的贡献极大地扩展了人们对边缘系统在行动、感知、情感和影响中的作用的关注——这一趋势一直持续到现在。

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