Document Detail


Harvey W. Cushing and cerebrovascular surgery: Part I, Aneurysms.
MedLine Citation:
PMID:  15352619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The development of surgical techniques for the treatment of intracranial aneurysms has paralleled the evolution of the specialty of neurological surgery. During the Cushing era, intracranial aneurysms were considered inoperable and only ligation of the carotid artery was performed. Cushing understood the limitations of this approach and advised the need for a more thorough understanding of aneurysm pathology before further consideration could be given to the surgical treatment of cerebral aneurysms. Despite his focus on brain tumors, Cushing's contributions to the discipline of neurovascular surgery are of great importance. With the assistance of Sir Charles Symonds, Cushing described the syndrome of subarachnoid hemorrhage. He considered inserting muscle strips into cerebral aneurysms to promote aneurysm sac thrombosis and designed the "silver clip," which was modified by McKenzie and later used by Dandy to clip the first intracranial aneurysm. Cushing was the first surgeon to wrap aneurysms in muscle fragments to prevent recurrent hemorrhage. He established the foundation on which pioneers such as Norman Dott and Walter Dandy launched the modern era of neurovascular surgery.
Authors:
Aaron A Cohen-Gadol; Dennis D Spencer
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Publication Detail:
Type:  Biography; Historical Article; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  101     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-08     Completed Date:  2004-09-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  547-52     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurologic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA. cohengadol.aaron@mayo.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Child
Craniotomy / history*
Female
History, 20th Century
Humans
Intracranial Aneurysm / history*
Male
Medical Illustration / history*
Middle Aged
Neurosurgical Procedures / history*
Subarachnoid Hemorrhage / history*
Surgical Instruments / history*
United States
Personal Name Subject
Personal Name Subject:
Harvey W Cushing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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