Goldring S
J Neurosurg. 1985 Oct;63(4):485-91. doi: 10.3171/jns.1985.63.4.0485.
Several important events that have played a major role in shaping the destiny of neurological surgery are recounted: the birth of neurosurgery; the founding of scientific surgery; the origin and evolution of microvascular technique in cerebrovascular surgery. In each case, the clinical breakthroughs stemmed from an apparently irrelevant basic laboratory investigation. Also, in each case, the transfer of the laboratory results to the bedside required clinicians who were prepared by training and knowledge to recognize the clinical significance of the fundamental observations. History tells us that if we are to sustain neurological surgery as a vibrant surgical specialty, we must continue to give top priority to the preparation of young minds through education and research. It is more important to understand this now than ever before, because never before have we been so preoccupied with social and economic issues: a preoccupation that is threatening to divert our attention from the main determinants of our specialty's future viability--the acquisition and application of new knowledge.
神经外科的诞生；科学外科的创立；脑血管外科微血管技术的起源与发展。在每一个案例中，临床突破都源于一项看似不相关的基础实验室研究。同样，在每一个案例中，将实验室结果应用于临床都需要经过培训且知识储备充足的临床医生，以便他们认识到基础观察结果的临床意义。历史告诉我们，如果要使神经外科作为一个充满活力的外科专业得以持续发展，我们必须继续通过教育和研究，将培养年轻人才放在首位。现在理解这一点比以往任何时候都更加重要，因为我们从未像现在这样如此专注于社会和经济问题：这种专注有可能使我们的注意力从本专业未来生存能力的主要决定因素——新知识的获取与应用上转移开。
