"No performance in surgery more interesting and satisfactory": Harvey Cushing and his experience with spinal cord tumors at the Johns Hopkins Hospital. Historical vignette

Hormuzdiyar H. Dasenbrock, Courtney Pendleton, Aaron A. Cohen-Gadol, Jean Paul Wolinsky, Ziya L. Gokaslan, Alfredo Quinones-Hinojosa, Ali Bydon

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Although Harvey Cushing was a neurosurgical pioneer, his work on the spine remains largely unknown. In fact, other than his own publications, Cushing's patients with pathological lesions of the spine who were treated while he was at the Johns Hopkins Hospital, including those with spinal cord tumors, have never been previously described. The authors report on 7 patients with spinal cord tumors that Cushing treated surgically between 1898 and 1911: 2 extradural, 3 intradural extramedullary, and 2 intramedullary tumors. The authors also describe 10 patients in whom Cushing performed an "exploratory laminectomy" expecting to find a tumor, but in whom no oncological pathological entity was found. Cushing's spine surgeries were limited by challenges in making the correct diagnosis, lack of surgical precedent, and difficulty in achieving adequate intraoperative hemostasis. Other than briefly mentioning 2 of the 4 adult patients in his landmark monograph on meningiomas, these cases-both those involving tumors and those in which he performed exploratory laminectomies - have never been published before. Moreover, these cases illustrate the evolution that Harvey Cushing underwent as a spine surgeon.

Original languageEnglish (US)
Pages (from-to)412-420
Number of pages9
JournalJournal of Neurosurgery: Spine
Volume14
Issue number3
DOIs
StatePublished - Mar 2011
Externally publishedYes

Fingerprint

Spinal Cord Neoplasms
Spine
Laminectomy
Neoplasms
Meningioma
Hemostasis

Keywords

  • Harvey Cushing
  • History of neurosurgery
  • Sacrococcygeal teratoma
  • Spinal cord tumor
  • Spinal meningioma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

Cite this

"No performance in surgery more interesting and satisfactory" : Harvey Cushing and his experience with spinal cord tumors at the Johns Hopkins Hospital. Historical vignette. / Dasenbrock, Hormuzdiyar H.; Pendleton, Courtney; Cohen-Gadol, Aaron A.; Wolinsky, Jean Paul; Gokaslan, Ziya L.; Quinones-Hinojosa, Alfredo; Bydon, Ali.

In: Journal of Neurosurgery: Spine, Vol. 14, No. 3, 03.2011, p. 412-420.

Research output: Contribution to journalArticle

Dasenbrock, Hormuzdiyar H. ; Pendleton, Courtney ; Cohen-Gadol, Aaron A. ; Wolinsky, Jean Paul ; Gokaslan, Ziya L. ; Quinones-Hinojosa, Alfredo ; Bydon, Ali. / "No performance in surgery more interesting and satisfactory" : Harvey Cushing and his experience with spinal cord tumors at the Johns Hopkins Hospital. Historical vignette. In: Journal of Neurosurgery: Spine. 2011 ; Vol. 14, No. 3. pp. 412-420.
@article{650ed4ef250943a285a325a73c2c7017,
title = "{"}No performance in surgery more interesting and satisfactory{"}: Harvey Cushing and his experience with spinal cord tumors at the Johns Hopkins Hospital. Historical vignette",
abstract = "Although Harvey Cushing was a neurosurgical pioneer, his work on the spine remains largely unknown. In fact, other than his own publications, Cushing's patients with pathological lesions of the spine who were treated while he was at the Johns Hopkins Hospital, including those with spinal cord tumors, have never been previously described. The authors report on 7 patients with spinal cord tumors that Cushing treated surgically between 1898 and 1911: 2 extradural, 3 intradural extramedullary, and 2 intramedullary tumors. The authors also describe 10 patients in whom Cushing performed an {"}exploratory laminectomy{"} expecting to find a tumor, but in whom no oncological pathological entity was found. Cushing's spine surgeries were limited by challenges in making the correct diagnosis, lack of surgical precedent, and difficulty in achieving adequate intraoperative hemostasis. Other than briefly mentioning 2 of the 4 adult patients in his landmark monograph on meningiomas, these cases-both those involving tumors and those in which he performed exploratory laminectomies - have never been published before. Moreover, these cases illustrate the evolution that Harvey Cushing underwent as a spine surgeon.",
keywords = "Harvey Cushing, History of neurosurgery, Sacrococcygeal teratoma, Spinal cord tumor, Spinal meningioma",
author = "Dasenbrock, {Hormuzdiyar H.} and Courtney Pendleton and Cohen-Gadol, {Aaron A.} and Wolinsky, {Jean Paul} and Gokaslan, {Ziya L.} and Alfredo Quinones-Hinojosa and Ali Bydon",
year = "2011",
month = "3",
doi = "10.3171/2010.10.SPINE10147",
language = "English (US)",
volume = "14",
pages = "412--420",
journal = "Journal of Neurosurgery: Spine",
issn = "1547-5654",
publisher = "American Association of Neurological Surgeons",
number = "3",

}

TY - JOUR

T1 - "No performance in surgery more interesting and satisfactory"

T2 - Harvey Cushing and his experience with spinal cord tumors at the Johns Hopkins Hospital. Historical vignette

AU - Dasenbrock, Hormuzdiyar H.

AU - Pendleton, Courtney

AU - Cohen-Gadol, Aaron A.

AU - Wolinsky, Jean Paul

AU - Gokaslan, Ziya L.

AU - Quinones-Hinojosa, Alfredo

AU - Bydon, Ali

PY - 2011/3

Y1 - 2011/3

N2 - Although Harvey Cushing was a neurosurgical pioneer, his work on the spine remains largely unknown. In fact, other than his own publications, Cushing's patients with pathological lesions of the spine who were treated while he was at the Johns Hopkins Hospital, including those with spinal cord tumors, have never been previously described. The authors report on 7 patients with spinal cord tumors that Cushing treated surgically between 1898 and 1911: 2 extradural, 3 intradural extramedullary, and 2 intramedullary tumors. The authors also describe 10 patients in whom Cushing performed an "exploratory laminectomy" expecting to find a tumor, but in whom no oncological pathological entity was found. Cushing's spine surgeries were limited by challenges in making the correct diagnosis, lack of surgical precedent, and difficulty in achieving adequate intraoperative hemostasis. Other than briefly mentioning 2 of the 4 adult patients in his landmark monograph on meningiomas, these cases-both those involving tumors and those in which he performed exploratory laminectomies - have never been published before. Moreover, these cases illustrate the evolution that Harvey Cushing underwent as a spine surgeon.

AB - Although Harvey Cushing was a neurosurgical pioneer, his work on the spine remains largely unknown. In fact, other than his own publications, Cushing's patients with pathological lesions of the spine who were treated while he was at the Johns Hopkins Hospital, including those with spinal cord tumors, have never been previously described. The authors report on 7 patients with spinal cord tumors that Cushing treated surgically between 1898 and 1911: 2 extradural, 3 intradural extramedullary, and 2 intramedullary tumors. The authors also describe 10 patients in whom Cushing performed an "exploratory laminectomy" expecting to find a tumor, but in whom no oncological pathological entity was found. Cushing's spine surgeries were limited by challenges in making the correct diagnosis, lack of surgical precedent, and difficulty in achieving adequate intraoperative hemostasis. Other than briefly mentioning 2 of the 4 adult patients in his landmark monograph on meningiomas, these cases-both those involving tumors and those in which he performed exploratory laminectomies - have never been published before. Moreover, these cases illustrate the evolution that Harvey Cushing underwent as a spine surgeon.

KW - Harvey Cushing

KW - History of neurosurgery

KW - Sacrococcygeal teratoma

KW - Spinal cord tumor

KW - Spinal meningioma

UR - http://www.scopus.com/inward/record.url?scp=79952392528&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952392528&partnerID=8YFLogxK

U2 - 10.3171/2010.10.SPINE10147

DO - 10.3171/2010.10.SPINE10147

M3 - Article

C2 - 21250810

AN - SCOPUS:79952392528

VL - 14

SP - 412

EP - 420

JO - Journal of Neurosurgery: Spine

JF - Journal of Neurosurgery: Spine

SN - 1547-5654

IS - 3

ER -