Abstract
An 18th century report of a device for repeated extracranial drainage of cerebrospinal fluid in the treatment of congenital hydrocephalus is reviewed. On 15th October 1744, the French surgeon Claude-Nicolas Le Cat (1700–1768) introduced a specially invented canula into the lateral ventricle of a newborn boy with hydrocephalus. The canula was used as a tap and was left in place for 5 days, until the death of the child. This procedure should be seen as the first documented description of a device for repeated ventricular taps in the treatment of hydrocephalus.
References
1.
Cheyne J: An Essay on Hydrocephalus Acutus, or Dropsy in the Brain. Edinburgh, Doig & Stevenson, 1808.
2.
Chaffey WC: Tapping the ventricles in hydrocephalus. BMJ 1891:223.
3.
Keen WW: Tapping the ventricles. BMJ 1891:486.
4.
Oppenheim H: Lehrbuch der Nervenkrankheiten. Berlin, Karger, 1894.
5.
Beely FB: Die Krankheiten des Kopfes und Krankheiten der Hand im Kinderalter; in: Gerhardt’s Handbuch der Kinderkrankheiten. Tübingen, Laupp, 1880.
6.
Ricketts BM: Surgery of the Prostate, Pancreas, Diaphragm, Spleen, Thyroid and Hydrocephalus. A Historical Review. Cinncinnati, 1904.
7.
Kausch W: Die Behandlung des Hydrocephalus der kleinen Kinder. Arch Klin Chir 1908;87:709–796.
8.
Haynes IS: Congenital internal hydrocephalus. Ann Surg 1913;57:449–484.
9.
Aschoff A, Kremer P, Hashemi B, Kunze S: The scientific history of hydrocephalus and its treatment. Neurosurg Rev 1999;22:67–95.
10.
Schultze F: Die Krankheiten der Hirnhäute und der Hydrocephalie. Wien, Hölder, 1901.
11.
Scarff JE: Treatment of hydrocephalus: An historical and critical review of methods and results. J Neurol Neurosurg Psychiatry 1963;26:1–26.
12.
Pudenz RH: The surgical treatment of hydrocephalus – an historical review. Surg Neurol 1981;15:15–26.
13.
Torack RM: Historical aspects of normal and abnormal brain fluids. II. Hydrocephalus. Arch Neurol 1982;39:276–279.
14.
Rachel RA: Surgical treatment of hydrocephalus: An historical perspective. Pediatr Neurosurg 1999;30:296–304.
15.
Smith GK: The history of spina bifida, hydrocephalus, paraplegia, and incontinence. Pediatr Surg Int 2001;17:424–432.
16.
Grise P: Claude-Nicolas Le Cat (1700–1768), un grand nom de la chirurgie et de l’urologie au 18me siècle. Prog Urol 2001;11:149–153.
17.
Le Cat CN: Description of a machine for dressing and curing patients who are very unwieldly, and are under the surgeon’s hands for some ailment on the back, the os sacrum etc, or are apprehensive of it. Phil Trans R Soc Lond 1742;468:364–368.
18.
Hirsch A: Biographisches Lexikon der Hervorragenden Ärzte aller Zeiten und Völker. Wien, Urban & Schwarzenberg, Band 3, 1886.
19.
Le Cat CN: A new trocar for the puncture in the hydrocephalus, and for other evacuations, which are necessary to be made at different times. Phil Trans R Soc Lond 1751;157:267–272.
© 2003 S. Karger AG, Basel
2003
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.