1Department of Neurosurgery, Rutgers New Jersey Medical School, Newark, New Jersey; and.
2Department of Neurosurgery, The Loyal and Edith Davis Neurosurgical Research Laboratory, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
J Neurosurg. 2023 Mar 31;139(4):1128-1139. doi: 10.3171/2023.2.JNS221963. Print 2023 Oct 1.
In 1928, neuroscientist Yushi Uchimura (1897-1980) published a landmark study detailing the hippocampal vasculature. Working in Walther Spielmeyer's Munich laboratory (1925-1927), Uchimura sought evidence for a vascular theory of Ammon's horn sclerosis (AHS). He described an artery supplying the vulnerable sector of the hippocampus, where pathognomonic changes of AHS were noted, and characterized the artery as particularly susceptible to circulatory disturbances. Discovery of this artery led to new concepts and new terminology pertaining to the hippocampus. In addition to having a distinguished career in psychiatry and academia (including a position as University of Tokyo dean), Uchimura was, before attending medical school, one of Japan's best baseball pitchers; he was eventually named Nippon Professional Baseball Organization commissioner and inducted into the Japan Baseball Hall of Fame. Uchimura's description of hippocampal vasculature, which is still subject to debate after nearly a century, brought international attention to AHS and epilepsy and showed the hippocampal vasculature to be variable and vulnerable; important considerations for later neurosurgeons in the development of selective mesial temporal surgery. Prominent figures in neurosurgery have since developed classification systems for the hippocampal vasculature in which the artery of Uchimura remains central. Perhaps no other brain artery has been the nexus for such intense investigation and debate about its association to structure, function, disease, and treatment methodology.
1928 年，神经科学家内村友司（1897-1980 年）发表了一项具有里程碑意义的研究，详细描述了海马体的血管系统。内村友司曾在瓦尔特·斯皮利迈尔（Walther Spielmeyer）的慕尼黑实验室工作（1925-1927 年），他致力于寻找阿蒙角硬化症（Ammon's horn sclerosis，AHS）血管理论的证据。他描述了为海马体脆弱部位供血的动脉，该部位出现了 AHS 的特征性变化，并将该动脉描述为特别容易受到循环障碍的影响。这条动脉的发现带来了与海马体相关的新概念和新术语。除了在精神病学和学术界（包括担任东京大学院长）有着杰出的职业生涯外，内村友司在进入医学院之前，是日本最好的棒球投手之一；他最终被任命为日本职业棒球组织专员，并入选日本棒球名人堂。内村友司对海马体血管系统的描述，近一个世纪以来一直备受争议，使 AHS 和癫痫引起了国际关注，并表明海马体血管系统具有变异性和脆弱性；这是后来神经外科医生在发展选择性内侧颞叶手术时的重要考虑因素。此后，神经外科领域的杰出人物已经开发出了海马体血管系统的分类系统，其中内村友司的动脉仍然是核心。也许没有其他脑动脉像这样，成为了如此激烈的研究和辩论的焦点，涉及到其与结构、功能、疾病和治疗方法的关联。
