Hitzig

  • 文章类型: Journal Article
    本文讨论了EdouardHitzig和DavidFerrier关于动物运动的皮层定位的发现与Jean-MartinCharcot在人类中的发现之间的差异。Hitzig和Ferrier的活体解剖结果被英国和法国的实验主义者批评为不一致,不可复制,而且没有定论,他们被临床医生认为无关紧要。Charcot通过将患者的运动缺陷和局灶性癫痫发作与尸检结果相关联,解决了动物和人类运动功能之间的差距。通过这种方法,他发现了人类运动皮层的功能组织,并产生了第一个准确的人类运动大脑图。费里尔,威廉·奥斯勒,休林斯·杰克逊承认夏科的发现,他的发现指导了第一批神经外科医生定位和切除表现为局灶性癫痫发作的颅内肿块病变。尽管他在这些领域的贡献被现代历史学家忽视了,Charcot对人类运动系统的神经生物学做出了重大贡献,癫痫学,以及现代神经外科的诞生。
    This article addresses the discrepancy between Edouard Hitzig\'s and David Ferrier\'s findings on the cortical localization of movements in animals and Jean-Martin Charcot\'s findings in humans. The results of Hitzig\'s and Ferrier\'s vivisections were criticized by experimentalists in England and France as discordant, irreproducible, and inconclusive, and they were rejected by clinicians as irrelevant. Charcot addressed the gap between animal and human motor function by correlating motor deficits and focal epileptic seizures in patients to their autopsy findings. By this method he discovered the functional organization of the human motor cortex and produced the first accurate human motor brain map. Ferrier, William Osler, and Hughlings Jackson acknowledged Charcot\'s findings, and his findings guided the first neurosurgeons in localizing and resecting intracranial mass lesions presenting with focal epileptic seizures. Although his contributions in these fields have been neglected by modern historians, Charcot made significant contributions to the neurobiology of the human motor system, to epileptology, and to the birth of modern neurosurgery.
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  • 文章类型: Historical Article
    本文概述了“大脑图”中的过渡,用于说明与运动相关的皮质“中心”的位置,感觉,和语言从19世纪的Gall和Spurzheim的图像开始,到21世纪的功能磁共振成像。在此期间,新的方法需要新的大脑图来说明它们,大脑图有助于客观化和自然化心理过程。一种方法,对大脑皮层的电刺激-例如1870年的Fritsch和Hitzig,1873年的Ferrier和1937年的Penfield-所需的脑图显示功能中心具有扩展和重叠的边界。在另一种方法中,将皮质中心联系起来以解释复杂的失语症综合征的大脑图,失用症,Alexia,和失写症最初由Baginsky于1871年,Wernicke于1874年和Lichtheim于1885年建造,然后由Lissauer于1890年,Dejerine于1892年和Liepmann于1920年建造,并最终由Geschwind于1965年和其他20世纪后期建造。在此期间,脑图从引起运动和感觉的大脑皮层上的点的插图到与可识别功能相关的区域(中心)的插图,再到解释临床患者出现复杂症状的这些区域之间的联系的插图。到这个时期结束时,物理学的进步,数学,和认知科学导致的发明,允许从认知操作而不是从通常的电或消融操作中得出大脑皮层位置的大脑图。“心理”因变量成为“认知”自变量。
    This article is an outline of the transition in \"brain maps\" used to illustrate locations of cortical \"centers\" associated with movements, sensations, and language beginning with images from Gall and Spurzheim in the nineteenth century through those of functional magnetic resonance imaging in the twenty-first century. During the intervening years, new approaches required new brain maps to illustrate them, and brain maps helped to objectify and naturalize mental processes. One approach, electrical stimulation of the cerebral cortex-exemplified by Fritsch and Hitzig in 1870, Ferrier in 1873, and Penfield by 1937-required brain maps showing functional centers with expanded and overlapping boundaries. In another approach, brain maps that linked cortical centers to account for the complex syndromes of aphasia, apraxia, alexia, and agraphia were initially constructed by Baginsky in 1871, Wernicke in 1874, and Lichtheim in 1885, then later by Lissauer in 1890, Dejerine in 1892, and Liepmann in 1920, and eventually by Geschwind in 1965 and others through the late twentieth century. Over that intervening time, brain maps changed from illustrations of points on the cerebral cortex where movements and sensations were elicited to illustrations of areas (centers) associated with recognizable functions to illustrations of connections between those areas that account for complex symptoms occurring in clinical patients. By the end of this period, advancements in physics, mathematics, and cognitive science resulted in inventions that allowed brain maps of cortical locations derived from cognitive manipulations rather than from the usual electrical or ablative manipulations. \"Mental\" dependent variables became \"cognitive\" independent variables.
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  • 文章类型: Biography
    There was an increasing medical interest in the localization of representation of function in the cerebral cortex after Broca in 1861 identified a cortical area that appeared responsible for expressive speech. By the late 1860s, John Hughlings Jackson-based on clinico-pathological correlations mainly in persons with focal motor seizures-had reasoned that contralateral somatic motor function was represented in another area of the cortex. This localization was supported by Fritsch and Hitzig (1870) in experimental cortical stimulation studies in dogs. These authors also reported producing events resembling contralateral motor convulsing in their animals. Their work, and Jackson\'s ideas, prompted David Ferrier, in Great Britain, to begin a program of cerebral cortical stimulation studies in various vertebrate species, trying to locate cortical sites of representation of functions other than expressive speech and motor activity. In his initial report of his investigations (1873), he noted that appropriately sited Faradic stimulation evoked immediate or delayed contralateral focal motor seizures, some of which evolved into generalized convulsions. On this basis he reasoned that focal motor and generalized seizures were expressions of the same disorder; that nearly all epilepsies originated in the cerebral cortex and not in the lower brain stem, as hitherto thought; and that the clinical pattern of epileptic seizure phenomenology depended on the function of the cortical site of origin and the extent and direction of spread of seizure activity in the brain. He not only provided experimental verification for Jackson\'s reasoning about epileptic seizure mechanisms but expressed the ideas a good deal more clearly than Jackson ever managed to do. Ferrier\'s achievement in this regard has tended to escape notice, lost sight of because of the great importance of his investigations into localization of cerebral function.
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