作者: A. Compston
DOI: 10.1093/BRAIN/AWQ270
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摘要: It was at the request of William Hammond (1828–1900), Surgeon-General United States Army, that, in 1863, Silas Weir Mitchell (1829–1914) and Dr George Morehouse (1829–1905) established a 400 bed hospital Christian Street (moving later to Turner’s Lane) Philadelphia which referred ‘a vast collection wounds contusions nerves including all rarest forms nerve lesion almost every great human body’ suffered during American Civil War. Writing 1917, Jules Dejerine (1849–1917) introduced medical public work his pupil Tinel (1879–1952) on Nerve Wounds : ‘all surgeons neurologists still remember how surprised they were early months War, numerous cases peripheral brought into our hospitals… we had… connect each symptoms with determining lesion… my pupils myself have been enabled set up main syndromes interruption, compression, irritation or regeneration, dissociated partial lesions’. And lest any reader doubted wherein lay authority for Tinel’s work, Professor points out that ‘ … written, so speak, very presence, it is faithful resume investigations entered upon service by fellow-workers Charcot Clinic’. Of 639 cases, 408 affect arm (in descending order frequency—musculo-spiral, ulnar, median, combined lesions, brachial plexus, circumflex musculo-cutaneous nerves) 231 leg (sciatic, external popliteal, internal posterior tibial, long saphenous, anterior crural, short lumbo-sacral musculo-cutaneous, cutaneous, ilio-inguinal obturator nerves, respectively). Major Gordon Taylor [Sir Gordon-Taylor, KBE, CB, MD, FRCS (1878–1960), surgeon Middlesex Hospital, London] had him copy while serving British