Sir Victor Horsley: pioneer craniopharyngioma surgeon

作者: José M. Pascual , Ruth Prieto , Paolo Mazzarello

DOI: 10.3171/2014.12.JNS1429

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摘要: Sir Victor Horsley (1857-1916) is considered to be the pioneer of pituitary surgery. He known have performed first surgical operation on gland in 1889, and 1906 he stated that had operated 10 patients with tumors. did not publish details these procedures nor provide evidence pathology lesions on. Four underwent surgery at National Hospital for Neurology Neurosurgery (Queen Square, London), records those cases were recently retrieved analyzed by members hospital staff. The remaining corresponded private operations whose presumably kept Horsley's personal notebooks, most which been lost. In this paper, authors investigated only scientific monograph providing a complete account surgeries his practice, La Patologia Chirurgica dell'Ipofisi (Surgical Pathology Hypophysis), written 1911 Giovanni Verga, Italian assistant professor anatomy University Pavia. They traced life work little-known physician who contributed preservation legacy Within Verga's treatise, full transcription notes provided cases, including patients' clinical symptoms, techniques employed, intraoperative findings, outcome descriptions topographical macroscopic features two correspond unmistakably craniopharyngiomas, one squamous-papillary type adamantinomatous type. former lesion was found necropsy after patient's sudden death following temporal osteoplastic craniectomy. Surgical removal latter case, assumed nature an craniopharyngioma, successful. According monograph, it can claimed but also craniopharyngioma

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