Harvey W. Cushing and cerebrovascular surgery: Part I, Aneurysms

Journal of Neurosurgery
Aaron A Cohen-Gadol, Dennis D Spencer

Abstract

The development of surgical techniques for the treatment of intracranial aneurysms has paralleled the evolution of the specialty of neurological surgery. During the Cushing era, intracranial aneurysms were considered inoperable and only ligation of the carotid artery was performed. Cushing understood the limitations of this approach and advised the need for a more thorough understanding of aneurysm pathology before further consideration could be given to the surgical treatment of cerebral aneurysms. Despite his focus on brain tumors, Cushing's contributions to the discipline of neurovascular surgery are of great importance. With the assistance of Sir Charles Symonds, Cushing described the syndrome of subarachnoid hemorrhage. He considered inserting muscle strips into cerebral aneurysms to promote aneurysm sac thrombosis and designed the "silver clip," which was modified by McKenzie and later used by Dandy to clip the first intracranial aneurysm. Cushing was the first surgeon to wrap aneurysms in muscle fragments to prevent recurrent hemorrhage. He established the foundation on which pioneers such as Norman Dott and Walter Dandy launched the modern era of neurovascular surgery.

References

Mar 17, 2001·Surgical Neurology·H A Al-ShatouryJ I Ausman
Jan 1, 1809·Medico-chirurgical Transactions·A Cooper

❮ Previous
Next ❯

Citations

Jan 13, 2011·Spine·Ali BydonAlfredo Quinones-Hinojosa
Jun 3, 2010·Journal of Neurosurgery·Ryan M KretzerRafael J Tamargo
Apr 13, 2010·Neurosurgery Clinics of North America·Geoffrey P ColbyRafael J Tamargo
Feb 13, 2017·World Neurosurgery·Leon T Lai, Anthea H O'Neill
Aug 18, 2017·Journal of Neurosurgical Anesthesiology·Paolo GrittiFederico Bilotta
Aug 16, 2017·Stroke; a Journal of Cerebral Circulation·Kristijonas MilinisAlun Huw Davies
Mar 30, 2010·Journal of Neurosurgery·José M PascualRodrigo Carrasco
Jan 11, 2011·Journal of Neurosurgery·R Shane TubbsRobert J Spinner
Apr 7, 2010·Neurosurgical Focus·Erin N Kiehna, Thomas E Merchant
Dec 3, 2010·Neurosurgical Focus·Cormac O MaherAaron A Cohen-Gadol
Jan 30, 2020·British Journal of Neurosurgery·Rowan C W Ah-SeeAndreas K Demetriades
Sep 18, 2020·Cardiology in Review·Pablo HarkerAman B Patel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Neurosurgical Focus
D F LouwG R Sutherland
Journal of Neurology, Neurosurgery, and Psychiatry
N V ToddJ D Miller
© 2021 Meta ULC. All rights reserved