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Historical back training in most important points of neurosurgery
Annals of General Psychiatry volume 9, Article number: S89 (2010)
The History of Neurosurgery begins with the presence of human in the earth. Begins from the depths of History (reports in Bible, Greek Mythology), as a part with Surgery until the last half of the 20th Century. Archaeological discoveries of human skull's proved the affair that the first neurosurgical action is the trepanation of skull or trephination (Burr hole in the cranial capsule with hand working drill), from material proportional the epoch (stone - copper, iron, brass etc). Chronological probably before the presence of written proofs and the use of metals, perhaps and from this 10.000 b.C. This action perhaps presented as a cerebration (in dead), but also as therapeutic in alive. This is the first surgical technique that prepared the trepanation of skull or trephination and later the craniectomy.
Materials and methods
All of this came from discoveries of skulls and surgical instruments, and show that the first Neurosurgical interventions in Ancient Greece are reduced in the Minoan epoch (skull in the Aharnes), in the Mycenaean epoch (Mycenae's skull, Argos). The study of the History is under a methodology as follows:
Invention of typography
Invention of photograph - cinema
A more important steps in the History of Neurosurgery are the following:
Prehistoric and primordial trephinations
Babylonian and Egyptian Medicine
Greek - Roman and first Byzantine Period
The origins of Neurosurgery
Greek period - Greek Ancient (5th b.C. Century)
Early Byzantine period
Arabic Period - Mediaeval Period
Arabic Medical School (750 - 1200 a.C.)
West-European Medieval (1000 - 1400 a.C.)
Neurosurgery in 16 - 19th Century
Origins of Neurology
Adventures Surgeons - Neurosurgeons
Anesthesia - Antisepsis - Cerebral localisation
Advances in Surgical - Neurosurgical Techniques
Historical Review in Anatomy - Physiology of Nervous System
The development of Neurosurgery is under investigations for Nervous System with improvement in Anatomy and Physiology:
White- Gray matter
Ventrical System of the Brain
Arterial - Venous system of the Brain
Cerebral sulcus - Gyrus
The creation of Speciality of Neurosurgery
Neurosurgery as speciality it would have never become without progress in neuroanatomy, neurophysiology, neurology, radiology, angiography of C.N.S. and neuroimagine (CT, MRI etc), and the importation of technology in Medicine, with researchers to progress of Neuroscience.
The Neurosurgery in 1900-1940 represented by William Harvey Cushing (1869-1939) (the father of Neurosurgery) and Walter Edward Dandy (1886-1946), leaders in the History.
The History of Neuroimagine methods
The brain and the spinal cord under anatomic nature and place, for a lot of centuries kept well their secrets. Because existed difficulty of approach, as well as in localisation of the place of damage.
Surgery in C.N.S. is without probabilities and mistakes. The modern Neurosurgery began with the first imagine methods of X - rays in clinical practice.
The progress of imaging methods are with surgery of C.N.S., walking together as the diagnostic methods increases also surgical approaches are with bigger safety.
X-ray of brain
Angiography of brain
CT of brain
MRI of brain
The History of Neurosurgery in Greece
Begins in the end of the 19th Century as a part of surgery and in the last decades of 20th Century as a new surgical speciality.
A' Period (1900-1920)
B' Period (1930-1950)
The speciality of Neurosurgery was established by V. Griponisiotis (1910-1993), Neurosurgeon and the first Professor of Neurosurgery after his election from Medical School of the A.U.TH. and director of the First Neurosurgical Clinic in 1966 in A.H.E.P.A. Hospital of Thessaloniki.
C' Period (The beginning of modern Neurosurgery)
The History of Microsurgery
Microsurgery in the Neurosurgical practice constitutes the point (perhaps the biggest), because gives opportunities for successful development.
The using of surgical microscope begins in 1960 and in 1965 by M. Gazi Yaşargil who came the first microsurgical intervention in the Brain (terminal by terminal anastomosis with superficial temporal cerebral artery with a rumus of medium cerebral artery).
The microsurgery involves revolution in the Neurosurgery, because almost all the surgical operations can be performed by surgical microscope.
Today Neurosurgery and modern technology constitute the ideally combination for helping patients.
Cushing H: The special Geld of neurological surgery. Bull Johns Hopkins Hosp. 1905, 16: 77-87.
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Cite this article
Syrmos, N., Ampatzidis, G., Fachantidou, A. et al. Historical back training in most important points of neurosurgery. Ann Gen Psychiatry 9, S89 (2010). https://doi.org/10.1186/1744-859X-9-S1-S89
- Surgical Microscope
- Greek Mythology
- Microsurgical Intervention
- Neurosurgical Practice
- Anatomic Nature