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谢灵顿-卡辛连接:二十世纪初的从 bench 到 bedside 合作。

The Sherrington-Cushing connection: A bench to bedside collaboration at the dawn of the twentieth century.

机构信息

Department of Neurology, Yale School of Medicine, Department of Chronic Disease Epidemiology, Yale School of Public Health, and Center for Neuroepidemiology and Clinical Neurological Research, Yale School of Medicine, Yale University, New Haven, Connecticut, USA.

出版信息

J Hist Neurosci. 2020 Apr-Jun;29(2):203-220. doi: 10.1080/0964704X.2019.1656377. Epub 2019 Sep 10.

Abstract

British physiologist Charles Sherrington (1857-1952) and American neurosurgeon Harvey Cushing (1869-1939) were seminal figures in the history of neuroscience. The two came from different worlds, one laboratory-based and the other largely clinical. Their scientific intersection, beginning in July 1901, provides a glimpse into a nascent form of "bench to bedside" collaboration, which carried with it the potential to extend the arm of neurophysiological experimentation from Sherrington's laboratory to Cushing's operatory. I reviewed extensive primary source materials archived at Yale University School of Medicine Library. Sherrington viewed Cushing's bedside work as an opportunity, in humans, to extend his bench-side physiological observations on higher primates, at times almost directing Cushing in the clinic. Cushing would indeed take Sherrington's observations on apes and extend them to his patients, and the work would eventually overturn the prevailing notion that the motor and sensory cortex were intermixed across the Rolandic fissure.

摘要

英国生理学家查尔斯·谢灵顿(Charles Sherrington,1857-1952 年)和美国神经外科医生哈维·库欣(Harvey Cushing,1869-1939 年)是神经科学史上的重要人物。这两人来自不同的世界,一个以实验室为基础,另一个则主要是临床。他们从 1901 年 7 月开始进行科学合作,这一合作提供了一个视角,让我们得以一窥当时新兴的“从实验室到临床”合作形式,这种合作有可能将神经生理学实验的范围从谢灵顿的实验室扩展到库欣的手术室。我查阅了耶鲁大学医学院图书馆存档的大量原始资料。谢灵顿将库欣的床边工作视为一个机会,可以在人类身上扩展他在高等灵长类动物身上进行的实验室生理观察,有时他甚至在临床实践中直接指导库欣。库欣确实将谢灵顿对猿类的观察结果扩展到了他的患者身上,这项工作最终推翻了当时流行的观点,即运动和感觉皮层在 Rolandic 裂沟中是混合的。

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