Hektoen International

A Journal of Medical Humanities

Category: Neurology

  • The Neuron Doctrine: Santiago Ramón y Cajal and Camillo Golgi

    JMS PearceHull, England There can be few medical works of such importance as the study of the fine structure of the nerve cell that began in the last three decades of the nineteenth century. The two principal adventurers (Fig 1) in this field were the Italian Camillo Golgi (1843–1926) and the Spaniard Santiago Ramón y…

  • Hemiplegic migraine, the monster

    Ceres Alhelí Otero PenicheMexico City, Mexico The authors of great literary works allow their readers to enter into the very precincts of their imaginations, leading them to the most fantastical places they could have ever imagined. Sadly, however, the authors who create these magical works are just as prone to suffer from the same terrible…

  • Luigi Rolando

    JMS PearceHull, England Likened to the small intestines, in ancient times the gyri of the brain were named “coils” by Greek physicians and anatomists. Vesalius in the sixteenth century amplified the description in the celebrated De humani corporis fabrica. Thomas Willis in Cerebri anatome (1664) radically changed the accepted view that cognitive and somatic functions…

  • Huntington’s chorea

    JMS PearceHull, England In the history of medicine, few writers can have received a finer accolade than that bestowed by William Osler on George Huntington. Osler commented: “In the whole range of descriptive nosology there is not to my knowledge, an instance in which a disease has been so accurately and fully delineated in so…

  • Wernicke-Korsakoff encephalopathy: A historical note

    JMS PearceHull, England Before Sergei Sergeivich Korsakoff described the psychosis that bears his name, Carl Wernicke reported a closely related and often coexistent syndrome. It is variously named Wernicke-Korsakoff encephalopathy, syndrome, or psychosis. Two more different personalities would be hard to imagine. Wernicke’s encephalopathy The crucial clinical account of Wernicke’s encephalopathy is found in the…

  • Gonzalo R. Lafora: Spanish neuropsychologist and neuropathologist

    Enrique Chaves-CarballoOverland, Kansas, United States Gonzalo Rodríguez-Lafora (1886–1971) was a Spanish neurologist best known for his description of intracytoplasmic inclusion bodies (Lafora bodies) in myoclonic epilepsy. Lafora was born in Madrid on June 25, 1886. At the age of four, he moved to Puerto Rico when his father became a lieutenant colonel in the Spanish…

  • Lumbar puncture

    JMS PearceHull, England Access to cerebrospinal fluid (CSF) in life as an aid to diagnosis proved impossible until lumbar puncture. Galen of Pergamon (AD 130–200) failed to recognize CSF; he described a vaporous, not aqueous, humor that he called περιττώματα (residues) in the cerebral ventricles. Cerebrospinal fluid in the ventricles was probably first shown by…

  • Henry Miller

    JMS PearceHull, England There are many eminent figures in the worlds of medicine and neurology, most of them distinguished by their clinical skill, academic prowess, scientific originality, or success in establishing major institutes of teaching and research. Henry Miller (1913–1976), though not a laboratory investigator, was blessed with many of these attributes, but beyond that…

  • Dr. Désiré-Magloire Bourneville: a man ahead of his time

    Howard FischerUppsala, Sweden “Medicine is a social science, and politics is nothing else but medicine on a large scale.”– Rudolf Virchow, M.D. Désiré-Magloire Bourneville, M.D. (1840–1909), was born into a family of modest means. He earned his medical degree in 1865 in Paris. He is known today, if he is remembered at all, as the…

  • Early surgery of meningocele

    JMS PearceHull, England A variety of dysraphic states, recorded since antiquity, (Fig 1)1 are caused by the failed closure of the neural tube during the fourth week of embryonic life. They include hydrocephalus, Chiari malformations, and various types of spina bifida with meningocele or meningomyelocele. Nicolaes Tulp (1593–1674)—subject of Rembrandt’s The Anatomy Lesson—in Observationes Medicae…