A biosketch of William Richard Gowers with a new review of his inpatient case history notes



Document title: A biosketch of William Richard Gowers with a new review of his inpatient case history notes
Journal: Arquivos de neuro-psiquiatria
Database:
System number: 000569707
ISSN: 0004-282X
Authors: 1
2
1
Institutions: 1Federal University of Minas Gerais (UFMG), Faculty of Medicine, Belo Horizonte, MG. Brasil
2The National Hospital for Neurology and Neurosurgery, Royal College of Physicians and of the United Kingdom Academy of Medical Sciences, Queen Square, London. Reino Unido
3University College London, Reta Lila Weston Institute of Neurological Studies, Reino Unido
Year:
Volumen: 71
Number: 6
Pages: 411-413
Country: Brasil
Language: Inglés
Portuguese abstract William Richard Gowers (1845–1915) passou sua vida profissional trabalhando no National Hospital for the Relief and Cure for the Paralyzed and Epileptic e no University College Hospital na Queen Square, em Londres, Reino Unido. Seu livro Manual of the Diseases of the Nervous System, assim como suas várias aulas publicadas foram baseadas quase inteiramente em suas próprias observações clínicas, anotadas meticulosamente em estenografia. Neste artigo, o objetivo foi a análise das notas de casos clínicos de pacientes hospitalizados entre 1878 e 1911 armazenadas nos arquivos do National Hospital for Neurology and Neurosurgery, na Queen Square. Foram revisados 42 volumes e analisados 2.478 pacientes. Entre 1897 e 1909, uma média de 129,7 casos foram admitidos ao ano no hospital sob supervisão de Gowers. Os diagnósticos foram agrupados em 12 categorias diferentes. Epilepsia (16,5%), seguida de doenças da medula espinhal (12,7%), doenças cerebrovasculares (9,5%) e transtornos funcionais (7,9%) foram os diagnósticos mais encontrados nas notas dos casos clínicos.
English abstract William Richard Gowers (1845–1915) spent his career working at the National Hospital for the Relief and Cure for the Paralyzed and Epileptic at Queen Square, in London, United Kingdom, and at the nearby University College Hospital. His “Manual of the Diseases of the Nervous System” and many published lectures were based almost entirely on his own clinical observations meticulously recorded in shorthand. In this paper, we have focused on an analysis of his inpatient case records from 1878 to 1911 preserved in the archives at the National Hospital for Neurology and Neurosurgery, Queen Square. We reviewed all 42 volumes and analyzed 2,478 patients. Between 1897 and 1909, a mean of 129.7 cases per year were admitted to the hospital under Gowers' care. We grouped the diagnoses in 12 different categories. Epilepsy (16.5%), followed by spinal cord diseases (10.3%), cerebrovascular diseases (9.5%), and functional disorders (7.9%) were the most common diagnoses.
Keyword: History of medicine,
Epilepsy,
Cerebrovascular disorders,
Spinal cord diseases,
Movement disorders
Full text: Texto completo (Ver PDF) Texto completo (Ver HTML)