Reflections on the contributions of Harvey Cushing to the surgery of peripheral nerves: Historical vignette

R. Shane Tubbs, Neal Patel, Brian Vala Nahed, Aaron Cohen-Gadol, Robert J. Spinner

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

By the time Harvey Cushing entered medical school, nerve reconstruction techniques had been developed, but peripheral nerve surgery was still in its infancy. As an assistant surgical resident influenced by Dr. William Halsted,. Cushing wrote a series of reports on the use of cocaine for nerve blocks. Following his residency training and a hiatus to further his clinical interests and intellectual curiosity, he traveled to Europe and met with a variety of surgeons, physiologists, and scientists, who likely laid the groundwork for Cushing's increased interest in peripheral nerve surgery. Returning to The Johns Hopkins Hospital in 1901, he began documenting these surgeries. Patient records preserved at Yale's Cushing Brain Tumor Registry describe Cushing's repair of ulnar and radial nerves, as well as his exploration of the brachial plexus for nerve repair or reconstruction. The authors reviewed Harvey Cushing's cases and provide 3 case illustrations not previously reported by Cushing involving neurolysis, nerve repair, and neurotization. Additionally, Cushing's experience with facial nerve neurotization is reviewed. The history, physical examination, and operative notes shed light on Cushing's diagnosis, strategy, technique, and hence, his surgery on peripheral nerve injury. These contributions complement others he made to surgery of the peripheral nervous system dealing with nerve pain, entrapment, and tumor.

Original languageEnglish
Pages (from-to)1442-1448
Number of pages7
JournalJournal of Neurosurgery
Volume114
Issue number5
DOIs
StatePublished - May 2011

Fingerprint

Peripheral Nerves
Nerve Transfer
Nerve Compression Syndromes
Radial Nerve
Peripheral Nerve Injuries
Exploratory Behavior
Ulnar Nerve
Brachial Plexus
Nerve Block
Facial Nerve
Peripheral Nervous System
Neuralgia
Internship and Residency
Medical Schools
Cocaine
Brain Neoplasms
Physical Examination
Registries
History
Neoplasms

Keywords

  • Brachial plexus
  • Harvey Cushing
  • History
  • Nerve repair

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Reflections on the contributions of Harvey Cushing to the surgery of peripheral nerves : Historical vignette. / Tubbs, R. Shane; Patel, Neal; Nahed, Brian Vala; Cohen-Gadol, Aaron; Spinner, Robert J.

In: Journal of Neurosurgery, Vol. 114, No. 5, 05.2011, p. 1442-1448.

Research output: Contribution to journalArticle

Tubbs, R. Shane ; Patel, Neal ; Nahed, Brian Vala ; Cohen-Gadol, Aaron ; Spinner, Robert J. / Reflections on the contributions of Harvey Cushing to the surgery of peripheral nerves : Historical vignette. In: Journal of Neurosurgery. 2011 ; Vol. 114, No. 5. pp. 1442-1448.
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