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里昂的皮埃尔·韦特海默神经与神经外科医院:其发展历程及对神经外科的贡献

The Pierre Wertheimer Neurological and Neurosurgical Hospital in Lyon: history of its development and contributions to neurosurgery.

作者信息

Brînzeu Andrei, Sindou Marc

机构信息

2Pain Research Unit (Neuropain) Lyon Neuroscience Research Center, University of Lyon, France.

3Neuroscience Research Center, University of Medicine and Pharmacy "Victor Babes" Timisoara; and.

出版信息

J Neurosurg. 2022 Sep 9;138(5):1457-1466. doi: 10.3171/2022.7.JNS212946. Print 2023 May 1.

DOI:10.3171/2022.7.JNS212946
PMID:36087314
Abstract

At the end of the 1950s, at the direction of Pierre Wertheimer, the first French professor of neurosurgery, the treatment of neurological and neurosurgical diseases for Lyon's 2 million people was concentrated in a single center functioning as not only a hospital but also a campus for neuroscience. The ideas behind the structure revolve around concepts such as spatial unity, comprehensive specialized fields, a critical mass of patients, a structured training program, and essential cross-communication between areas in the same field. Through several generations of doctors, researchers, and professors, the Pierre Wertheimer Neurological and Neurosurgical Hospital in Lyon (NHL) has had an important impact on clinical practice, fundamental neuroscientific research, and specialist training. Under Wertheimer's stewardship, functional neurosurgery became one of the fields of excellence at the NHL with contributions in pain surgery and physiology but also epilepsy surgery and surgery for spasticity. Typically, these contributions were the result of the collaboration of separate teams, ultimately laying the groundwork for a neuroscientific doctoral school. The large mass of patients treated at the NHL provided opportunities for other, more isolated insights, such as the classification of pineal tumors and contributions to interventional neuroradiology. The present work endeavors to illustrate the contributions of the NHL to neuroscience and discuss the background allowing for their occurrence.

摘要

20世纪50年代末,在法国首位神经外科教授皮埃尔·韦特海默的指导下,为里昂200万人口提供的神经和神经外科疾病治疗集中于一个单一中心,该中心不仅是一家医院,也是一个神经科学园区。该机构背后的理念围绕着空间统一、综合专业领域、大量患者、结构化培训计划以及同一领域各区域之间的必要交叉交流等概念展开。经过几代医生、研究人员和教授的努力,里昂皮埃尔·韦特海默神经和神经外科医院(NHL)在临床实践、基础神经科学研究和专科培训方面产生了重要影响。在韦特海默的管理下,功能神经外科成为NHL的卓越领域之一,在疼痛外科和生理学方面有贡献,在癫痫外科和痉挛手术方面也有贡献。通常,这些贡献是不同团队合作的结果,最终为一所神经科学博士学院奠定了基础。在NHL接受治疗的大量患者为其他更孤立的见解提供了机会,例如松果体肿瘤的分类以及对介入神经放射学的贡献。本研究旨在阐述NHL对神经科学的贡献,并讨论促成这些贡献产生的背景。

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