One of Charcot's greatest legacies as a clinician was his contribution to the development of systematic neurological examination, correlating a set of clinical signs with specific lesions as seen macroscopically (seen by eye) and microscopically (seen with a microscope) following autopsies (dissection after death).
Whilst damage to the brain caused by MS was recorded earlier by Robert Carswell in 1838 and Jean Cruveilhier in 1841, it was Jean-Martin Charcot that drew together the knowledge about the then unamed condition and in 1868 described the distinct characteristics of the condition named "sclerose en plaques".
He described MS lesions in detail and reported on inflammation and the loss of the covering (myelin) of the nerves and the proliferation of glial fibres and nuclei at these sites. He attributed symptoms to impaired conduction in the central nervous system, though with periods of remission, and identified the symptoms of MS and his work is considered the beginnings of the study of the condition.
History of MS (1): Russell BrainsHistory of MS (2): St. Lidwina of Schiedam
History of MS (3): Sir August d'Esté
History of MS (4): Robert Carswell
History of MS (5): Jean Cruveilhier
History of MS (6): Friedrich von Frerichs
It seems kind of weird how this guy discovered so much bout MS back in 1868, yet 144 years later, progress is still comparatively lacking.
ReplyDeleteThis isn't a criticism... more of an observation. I'm having a slow work day. Sorry.
If you look at a car for the first time you can easily describe the features and the interior. Open the hood/bonnet and you see the engine is there this is another layer of description. You may be able to guess that the engine makes the car run
ReplyDeleteNow describe how the car actually works in every detail. That will and take you a long time and for many of us we wouldn't have a clue
Understanding biology is no different the easy things are done first and the minor details take ages to do.