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Arrhythmia & Electrophysiology Review Apr 2022The name Ivan Mahaim is well-known to electrophysiologists. However, alternative anatomical substrates can produce the abnormal rhythms initially interpreted on the... (Review)
Review
The name Ivan Mahaim is well-known to electrophysiologists. However, alternative anatomical substrates can produce the abnormal rhythms initially interpreted on the basis of the pathways he first described. These facts have prompted suggestions that Mahaim should be deprived of his eponym. It is agreed that specificity is required when describing the pathways that produce the disordered cardiac conduction, and that the identified pathways should now be described in an attitudinally appropriate fashion. The authors remain to be convinced that understanding will be enhanced simply by discarding the term 'Mahaim physiology' from the lexicon. It is fascinating to look back at the history of accessory atrioventricular junctional conduction pathways outside the normal accessory atrioventricular conduction system, and their possible role in rhythm disturbances. It took both the anatomist and the clinical arrhythmologist quite some time to understand the complex anatomical architecture and the ensuing electrophysiological properties. Over the years, the name Mahaim was often mentioned in those discussions, although these pathways were not the ones that produced the eponym. The reason for this review, therefore, is to present relevant information about the person and what followed thereafter.
PubMed: 35990105
DOI: 10.15420/aer.2022.12 -
Clinical Anatomy (New York, N.Y.) Jan 2022Newborn anatomy, despite being distinctly different than adult anatomy, does not constitute a major component of a typical medical school course in gross anatomy....
Newborn anatomy, despite being distinctly different than adult anatomy, does not constitute a major component of a typical medical school course in gross anatomy. Accordingly, there is a perception that other than the well-known late 20th-century atlas and small textbook by Edmund Crelin on newborn anatomy, there is almost no information available for anatomists and clinicians to refer to on normal infant anatomy. This perception, as verbalized by Crelin in his books, is not correct. There is an amazing wealth of accurate descriptive and pictorial information on infant anatomy available from late 19th- and early 20th-century sources. One of these sources is a comprehensive 200-page chapter on pediatric anatomy by Richard Scammon that was published in 1923 and that is freely available. Because of some inconsistencies and inaccuracies we have identified in the Crelin works, we suggest that any anatomist or clinician who wishes to learn and teach about infant anatomy refer to Scammon's chapter before using any text or image from the Crelin books.
Topics: Adult; Anatomists; Anatomy; Child; History, 19th Century; Humans; Infant, Newborn; Learning; Schools, Medical
PubMed: 34378242
DOI: 10.1002/ca.23774 -
Revue Neurologique 2021François Pourfour du Petit was a Parisian experimental neuro-anatomist, and ophthalmologist, who investigated his extensive wartime experiences of brain and spinal... (Review)
Review
François Pourfour du Petit was a Parisian experimental neuro-anatomist, and ophthalmologist, who investigated his extensive wartime experiences of brain and spinal injuries and verified his conclusions by animal experiments. His results showed with great originality that brain injuries caused weakness or paralysis of the opposite limbs. He also clarified the anatomy of the spinal cord and decussation of the pyramidal tracts, and demonstrated the anatomy and clinical significance of the cervical sympathetic chain.
Topics: France; History, 17th Century; History, 18th Century; Humans; Mydriasis; Neurology
PubMed: 32654778
DOI: 10.1016/j.neurol.2020.04.023 -
Current Biology : CB May 2023In the early 19th century, long before the discovery of the dinosaurs, scientists and the public alike were faced with the realization that strange beasts, wholly...
In the early 19th century, long before the discovery of the dinosaurs, scientists and the public alike were faced with the realization that strange beasts, wholly extinct, were once populating Earth's ancient oceans. In no small part, this realization was through the discovery of the first plesiosaurs (and ichthyosaurs) along the Dorset coast of England in the seaside town of Lyme Regis. There was this large marine reptile resembling a large sea turtle, but with four evenly shaped flippers and looking as though a large snake had been pulled through its carapace. It was soon to be named scientifically Plesiosaurus, in reference to its greater similarity to living reptiles than the Ichthyosaurus (Figure 1). While the Ichthyosaurus was relatively easily understood as a fish-shaped reptile descended from land-living ancestors, the Plesiosaurus was beyond comprehension, even though incomplete skeletons had been unearthed already in the early 18th century. Plesiosaurs seemed so alien that the first complete skeleton, discovered by the famed Mary Anning a little more than 200 years ago (Figure 1A), was considered a fake by the leading anatomist of the day, the Baron Georges Cuvier in Paris. Only study of the original specimen convinced him of the authenticity of this animal but reinforced his seminal insight that there is extinction.
Topics: Animals; Male; Animal Shells; Dinosaurs; England; Environment
PubMed: 37220726
DOI: 10.1016/j.cub.2023.04.018 -
Neurosurgical Review Dec 2021Brainstem is one of the most complex structures of the human body, and has the most complex intracranial anatomy, which makes surgery at this level the most difficult.... (Review)
Review
Brainstem is one of the most complex structures of the human body, and has the most complex intracranial anatomy, which makes surgery at this level the most difficult. Due to its hidden position, the brainstem became known later by anatomists, and moreover, brainstem surgery cannot be understood without knowing the evolution of ideas in neuroanatomy, neuropathology, and neuroscience. Starting from the first attempts at identifying brainstem anatomy in prehistory and antiquity, the history of brainstem discoveries and approach may be divided into four periods: macroscopic anatomy, microscopic anatomy and neurophysiology, posterior fossa surgery, and brainstem surgery. From the first trepanning of the posterior fossa and later finger surgery, to the occurrence of safe entry zones, this paper aims to review how neuroanatomy and brainstem surgery were understood historically, and how the surgical technique evolved from Galen of Pergamon up to the twenty-first century.
Topics: Brain Stem; Humans; Neurosurgical Procedures
PubMed: 33580370
DOI: 10.1007/s10143-021-01496-3 -
Medicine (Abingdon, England : UK Ed.) Aug 2020Clinical examination allows the neurologist to test hypotheses generated by their interpretation of the patient's story. By eliciting abnormal clinical signs, the... (Review)
Review
Clinical examination allows the neurologist to test hypotheses generated by their interpretation of the patient's story. By eliciting abnormal clinical signs, the examining doctor works out a differential diagnosis for the part of the nervous system affected and, using information from the clinical history, a differential diagnosis of the pathology. Clinical examination also allows the clinician to observe and quantify function, hear more story and provide reassurance. The focus of the examination should be dictated by the hypothesis being tested, the patient's clinical state and the situation. Examination of the different parts of the nervous system remains very important in all clinical situations as the best available index of function of the nervous system as a whole.
PubMed: 32834734
DOI: 10.1016/j.mpmed.2020.05.006