Surgery 5th year, 1st lecture/part one (Dr. Ari Sami)
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Surgery 5th year, 1st lecture/part one (Dr. Ari Sami)

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The lecture has been given on Dec. 2nd, 2010 by Dr. Ari Sami.

The lecture has been given on Dec. 2nd, 2010 by Dr. Ari Sami.

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    Surgery 5th year, 1st lecture/part one (Dr. Ari Sami) Surgery 5th year, 1st lecture/part one (Dr. Ari Sami) Presentation Transcript

    • Neurosurgery Dr. Ari Sami Neurosurgeon College of Medicine University of Sulaimani
    • Surgery of neurological diseases
    • History Neolithic period of the stone: Although the great majority of neurosurgical procedures have been developed recently, the history of trepanation dates back to this period
    • Edwin Smith Papyrus: Seventeenth century B.C.
      • Contains the first description of the cranial sutures, meninges, external surface of the brain, cerebrospinal fluid, intracranial pulsations, brain injuries, and hemiplegic contractures (trepanation was not mentioned)
    • Egyptian physicians
      • Hippocrates
        • Trepanation
        • Epilepsy
        • Spinal deformity and pulmonary
        • Spinal cord compression
        • Devised a method for reducing vertebral dislocations
        • Described permanent and transient facial paralysis, sciatica, and the complex of headache , visual disturbances, and vomiting
    • Modern neurosurgery (Nineteenth century)
      • Asepsis
      • Anasthesia
      • Cerebral localization
      • Bouillard, Broca, Fritsch, Hitzig, Ferrier & others
      • Osteoplastic craniotomy by Wagner
    • Pioneers
      • William Macewen Of Glasgow
      • Rickman Godlee (1884)(Resect an intracranial tumor)
      • Bennett (1888) (Posterior rhizotomy)
      • Victor Horsley of London (1887) (Spinal cord tumor)(1890)(retrogasserian neurotomy)
      • Otfrid Foerster in Germany (Cordotomy)
    • Harvey Cushing
    • Harvey Cushing
      • Advanced Neurosurgery from its infancy through its childhood
      • Reduction of operative morbidity and mortality
      • Hemostasis and electrocautary
      • Tumor classification (Bailey and Eisenhardt)
      • Formulation of tumor surgical treatment
      • Cushing is credited with creating the field of Brain surgery as a surgical discipline. He was a pioneering neurosurgeon and developed many of the tools, basic techniques and procedures used in neurosurgery to this day. The endocrine disorder named after him is obviously Cushing's Disease.
    • Walter Dandy
      • Modern concept of hydrocephalus
        • Choroid plexectomy and third ventriculostomy
      • Pneumoventriculography (1918)
      • Pneumoencephalography (1919)
    • Antonio Egas Moniz portuguese neurologist
      • More than 300 medical publication
      • Carotid arteriography, 1927 (Pedro de Almedia Lima)
      • Prefrontal lobotomy (1936) Noble prize in 1949
      • As of today, Neurosurgery is in a stage of rapid development and discovery .  It is an exciting field of constant technological and methodical advances that make possible to correct problems that, a scant few decades ago, would have been considered untreatable