History of Neurosurgery and Pain
This chapter traces some important points in the history of Neurosurgery, Pain and the Riviera Pain Center.
 
Harvey Cushing
Harvey Cushing (1869-1939) is a native of Cleveland, Ohio (USA). He did his College at Yale and his medical school at Harvard. He was an intern at Mass Gen, then a resident at John Hopkins. He studied abroad particularly in Bern in Switzerland (Prof. Kocher) and in Liverpool in England (Prof. Sherrington). During the 1st war, he served in a military hospital in France. Thanks to his broad training and his inventive spirit, he became one of the founding fathers of modern neurosurgery.
Harvey Cushing jeune
Harvey Cushing et Ivan Pavlov
Harvey Cushing and
Ivan Pavlov:

 

Ivan Pavlov, the famous physiologist, met Harvey Cushing, the equally famous neurosurgeon, at a congress in 1929.

It is thanks to these multiple encounters between basic sciences such as neurophysiology and clinical sciences such as neurosurgery that medicine will be able to truly progress in the treatment of pain.

Harvey Cushing - Le noeud
Harvey cushing

 

The knot

Harvey Cushing au lit du malade
Harvey cushing

 

In bed of the sick

Harvey Cushing en salle de réveil
Harvey cushing

 

In the recovery room

Harvey Cushing écrivant
Harvey cushing

 

Notes

Harvey Cushing
Harvey cushing

 

The discussion

Instruments de trépanation de Harvey Cushing
Harvey Cushing Trephination Instruments
Harvey Cushing en salle d'opération
Harvey Cushing in the operating room

 

The English term "Operating theater" takes on its full meaning!

Harvey Cushing et Gunnar Nyström
Harvey Cushing and
Gunnar Nyström

 

May 1930

Harvey Cushing
Harvey cushing

 

Meeting

Harvey Cushing
Harvey Cushing
Harvey Cushing en salle d'opération
Harvey cushing

 

In the operating room. We can clearly see the importance of education at this time.

Harvey Cushing en salle d'opération
Harvey cushing

 

In the operating room. This is Harvey Cushing's 2000th cranial operation, performed on April 15, 1931.

Harvey Cushing en salle d'opération
Harvey cushing

 

In the operating room.

Harvey Cushing
Harvey cushing

 

Passion for books.

Harvey Cushing écrivant
Harvey cushing

 

Writing of his observations.

Harvey Cushing portrait
Harvey Cushing

 

Portrait.

Harvey Cushing
Harvey Cushing

 

Harvey Cushing
Harvey cushing

 

In discussion.

Harvey Cushing lecture
Harvey cushing

 

Reading.

Harvey Cushing en discussion au lit du malade
Harvey cushing

 

Discussion in bed.

Other notable figures
 
Victor Horsley
Victor horsley (1857-1916)

 

An English pioneer in neurosurgery.

Lars Leksell
Lars Leksell (1907-1986)

 

A Swedish pioneer in neurosurgery, responsible for radiosurgery and the development of an excellent stereotaxic framework

 
Jean-Marie Charcot
Jean-Marie Charcot (1825-1893)

 

One of the fathers of French neurology. He was one of the first to describe multiple sclerosis in 1868 and amyotrophic lateral sclerosis in 1869. He is also recognized for his work on neurosyphilis (tabes dorsalis) and hypnosis.

 
Walter Dandy
Walter Dandy (1886-1946)

 

American neurosurgeon from Johns Hopkins Hospital known for his work on hydrocephalus and pediatric neurosurgery.

 
Denise Albe-Fessard
Denise Albe-Fessard (1916-2003)

 

Denise Albe-Fessard was born in 1916 in Paris. She is the author of fundamental research in neurophysiology, particularly in the fields of micro-recording and in the understanding of the neurophysiology of pain. She is the author of a remarkable book on pain. She died in 2003 at the age of 87.

Henry Gray
Henry Gray (1827 - 1861)

 

Henry Gray, the famous English anatomist and surgeon author of "Gray's anatomy" source of inspiration of certain television series ...

Wilson Greatbatch
Wilson Greatbatch
(1919 - 2011)

 

Wilson Greatbatch is the inventor of the pacemaker. Initially used only for the heart, pacemakers then had multiple applications in the nervous system (spinal cord stimulator, deep brain stimulation, etc.).
Wilson Greatbatch died in 2011.

Marc Sindou
Marc Sindou

 

Marc Sindou is a neurosurgeon from Lyon who has contributed enormously to the neurosurgical treatment of pain, particularly for microsurgical techniques such as DREZ-lesion or microvascular trigeminal decompression.

Wilder Penfield
Wilder Penfield (1891-1976)

 

Wilder Penfield is an American-Canadian neurosurgeon who has made a huge contribution to epilepsy surgery and founded the Montreal Neurological Institute (MNI).

We owe him the famous homunculus which gives cortical somatotopy.

He is the author of a fascinating book " No man alone " which was given to me by Prof. Jean-Guy Villemure.

Homunculus in 3D
Wilder Penfield - Homunculus 3D
Wilder Penfield - Homunculus
James Parkinson
James parkinson
(1755 - 1824)

 

James Parkinson was an English surgeon, pharmacist, paleontologist and political activist! described in 1817 the disease which bears his name, formerly called "trembling paralysis".

Leonardo da Vinci
Leonardo da Vinci
Leonardo da Vinci
(1452 - 1519)

 

A multi-faceted genius, Leonardo da Vinci was very interested in human anatomy and made remarkable anatomical sketches, particularly in neuroanatomy.

Leonardo da Vinci - anatomie
Leonardo da Vinci - Anatomie spinale
Leonardo da Vinci - Anatomie crânienne
Leonardo da Vinci - Anatomie du crâne
 
Leonardo da Vinci - Neuroanatomie
Leonardo da Vinci - Anatomie du crâne
Leonardo da Vinci - Neuroanatomie
Leonardo da Vinci - Anatomie du cerveau
Gazi Yasargil
Gazi Yasargil
Gazi Yasargil

 

Gazi Yasargil was born in Turkey in 1925, but he did all his neurosurgical training in Switzerland and was the head of the service in Zürich from 1973 to 1992.

He has been practicing since his "retirement" in Little Rock, Arkansas.

He was recognized as the neurosurgeon of the century by the journal "Neurosurgery" in 1999 for his work on microsurgery, particularly on vascular lesions (aneurysms, arteriovenous malformations, etc.)

Gazi Yasargil au bloc opératoire
Gazi Yasargil

 

Discussions in the operating room

Gazi Yasargil en rédaction
Gazi Yasargil

 

Gazi Yasargil is the author of numerous works and of a series of books on microsurgery, particularly focused on vascular microsurgery.

Livre microchirurge de Yasargil
Gazi Yasargil has also developed many instruments ranging from suction to microsurgical instruments through its famous retractor shown below
Ecarteur de Leila - Yasargil
Ecarteur de Leila - Yasargil
Mentors and local personalities
Nicolas de Tribolet
Nicolas de Tribolet

 

Neuchâtel aristocrat, son of a diplomat and polyglot, Prof. de Tribolet headed the Neurosurgery department of the CHUV for many years. His ambition to succeed Prof. Yasargil in Zürich having failed, he turned to the reunification of the services of the CHUV and the HUG, but faced with the scale of the work, he finally had to resolve to lead only the service in Geneva.

We particularly note his work on monoclonal antibodies in brain tumors as well as his investment in ADCON, a product that limits fibrosis.

With rare vitality, he continued to operate on private patients until the age of 75!

 
History of stereotaxis
Stéréotaxie: Spiegel et Wycis
Ernest Spiegel & Henry Wycis

 

1st human stereotaxis frame