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Henry Head’s lifelong studies of cutaneous sensation
Journal of Medical Biography Pub Date : 2020-07-14 , DOI: 10.1177/0967772020940553
Michael Swash 1, 2, 3, 4
Affiliation  

In 1900 research on cutaneous sensation was defined by histological techniques defining sensory receptors in skin, leading to undetermined conceptual problems when considered in relation to Brown-Séquard's startling finding that there were two qualitatively different afferent pathways in the spinal cord. Four modalities were considered to function as the determinants of sensory input. In 1903 Rivers and Head carried out the first interventional study of human cutaneous sensation, and analysed the return of sensation following section and immediate suture of the dorsal cutaneous branch of Head's left radial nerve. This resulted in the revolutionary idea summarised in his description of protopathic and epicritic sensory systems in peripheral sensory nerve. Although this concept was at best seen as controversial and even ridiculed by some of his many contemporaneous critics, more recently this concept has proven a fundamentally important stimulus to understanding the physiology of cutaneous sensation. His writings show him to have been capable of deeply instructive thought, based on his clinical experience and his admiration of Hughlings Jackson's teaching concerning the hierarchical organisation of brain function. First and foremost a clinician neuroscientist, his ideas were ahead of their time and not understood.

中文翻译:

亨利·海德 (Henry Head) 对皮肤感觉的终生研究

1900 年,皮肤感觉的研究由定义皮肤感觉受体的组织学技术定义,当考虑到与 Brown-Séquard 惊人的发现有关时,导致未确定的概念问题,即脊髓中有两种性质不同的传入通路。四种方式被认为是感官输入的决定因素。1903年Rivers和Head首次进行了人体皮肤感觉的介入性研究,分析了Head左侧桡神经背侧皮支剖切及即刻缝合后感觉的恢复情况。这导致了他对周围感觉神经中的原始和史诗感觉系统的描述中总结的革命性想法。尽管这个概念充其量被他同时代的许多批评者中的一些人视为有争议甚至嘲笑,但最近这个概念已被证明是理解皮肤感觉生理学的根本重要刺激。基于他的临床经验和对休林斯杰克逊关于大脑功能等级组织的教学的钦佩,他的著作表明他能够进行深刻的启发性思考。首先也是最重要的一位临床神经科学家,他的想法超前于他们的时代并且不被理解。基于他的临床经验和他对休林斯杰克逊关于大脑功能分层组织的教学的钦佩。首先也是最重要的一位临床神经科学家,他的想法超前于他们的时代并且不被理解。基于他的临床经验和他对 Hughlings Jackson 关于大脑功能等级组织的教学的钦佩。首先也是最重要的一位临床神经科学家,他的想法超前于他们的时代并且不被理解。
更新日期:2020-07-14
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