Article ID: CBB000831385

“A Twist in the Tale” of a Surgeon and His Patient: An Australian First in Seizure Localization (2008)

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In 1894 at St. Vincent's Hospital Melbourne, George Adlington Syme removed a meningioma from a patient with symptomatic focal epilepsy. The operation stands as the first surgery based on seizure localization in Australia. It is also the country's first documented successful resection of an intracranial meningioma. It followed William Macewen's landmark cerebral localization case on the boy John McKinley by 18 years and Victor Horsley's first epilepsy case on Hughlings Jackson's patient James B. by a mere 8 years. Syme's patient, Constable John G., survived the operation by some 23 years, dying from a gunshot wound to the head in 1917. Newly discovered inquest papers reveal that the coroner's judgment that the death was accidental completely fails to address the more credible scenario of suicide. The story makes for a fascinating epilogue to an important landmark in Australia's neurosurgical history.

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Authors & Contributors
Stone, James L.
Quinones-Hinojosa, Alfredo
Pendleton, Courtney
Eling, Paul
Cohen-Gadol, Aaron A.
Chirimuuta, M.
Concepts
Neurosciences
Medicine
Brain localization
Neurosurgery; psychosurgery
Epilepsy
Neurology
Time Periods
19th century
20th century, early
20th century
21st century
Places
London (England)
Melbourne (Victoria, Australia)
Netherlands
Australia
Great Britain
Strasbourg (France)
Institutions
Reichsuniversität Strassburg
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