Harvey Cushing's management of neurogenic thoracic outlet syndrome

Area of Science:

• Neurosurgery
• Peripheral Nerve Surgery
• Medical History

Background:

• Harvey Cushing is renowned as a father of modern neurosurgery, primarily for his work on intracranial conditions.
• While recognized for brain surgery, Cushing also maintained a significant clinical and academic focus on peripheral nerve surgery.

Purpose of the Study:

• To investigate Harvey Cushing's lesser-known contributions and interest in peripheral nerve surgery.
• To analyze historical surgical records detailing Cushing's approach to brachial plexus pathology.

Main Methods:

• Review of surgical records from the Johns Hopkins Hospital (1896-1912).
• Detailed examination of a specific case involving brachial plexus exploration and cervical rib resection.
• Analysis of operative reports and accompanying illustrations.

Main Results:

• The reviewed records highlight Cushing's engagement with peripheral nerve surgery.
• A case study demonstrates Cushing's exploration of the brachial plexus and cervical rib resection.
• Illustrations and reports show Cushing's efforts to expand his surgical techniques for brachial plexus conditions.

Conclusions:

• Harvey Cushing's surgical interests extended beyond intracranial pathology to include peripheral nerve surgery.
• Historical records provide evidence of Cushing's early work and innovative approaches to brachial plexus surgery.
• This study underscores Cushing's comprehensive contributions to the field of surgery.