Richard Lower (1631–1691): acknowledging his notable contributions to the exploration of the nervous system

2009 ◽  
Vol 111 (5) ◽  
pp. 1096-1101 ◽  
Author(s):  
R. Shane Tubbs ◽  
Marios Loukas ◽  
Michael Hill ◽  
Mohammadali M. Shoja ◽  
Aaron A. Cohen-Gadol

Richard Lower (1631–1691), an anatomist and physician, was born in St. Tudy, Cornwall, England, and became an avid follower of William Harvey and a pupil to Sir Thomas Willis. Unfortunately, little is written of his contributions to the study of the nervous system despite his successful medical career and his regard as one of the most significant English physiologists of the 17th century. Lower was best known for his remarkable studies within the cardiovascular and respiratory disciplines. However, although not as well documented and thus often overlooked, Lower produced noteworthy advancements within the field of neuroscience such as studying the hindbrain innervation of the heart, CSF formation and circulation, cranial nerve function, and the structural sources of seizures. Some have even attributed the results of Willis' anatomical and physiological studies to Lower rather than to Willis himself. Lower has not received the recognition he is owed as a highly skilled and trained anatomist and physician. In this paper, the neurological contributions, with a brief mention of challenges, delivered during the 17th century by this influential historical physician will be highlighted with an emphasis on the impact each contribution made.

2015 ◽  
Vol 36 (3) ◽  
pp. 275-290
Author(s):  
Mohit Agarwal ◽  
John L. Ulmer ◽  
Andrew P. Klein ◽  
Leighton P. Mark

2002 ◽  
Vol 106 (3) ◽  
pp. 155-158 ◽  
Author(s):  
F. Thomke ◽  
D. Jung ◽  
R. Besser ◽  
R. Roder ◽  
J. Konietzko ◽  
...  

1995 ◽  
Vol 64 (4) ◽  
pp. 165-182 ◽  
Author(s):  
David W. Andrews ◽  
Craig L. Silverman ◽  
Jon Glass ◽  
Beverly Downes ◽  
Richard J. Riley ◽  
...  

Neurosurgery ◽  
2012 ◽  
Vol 71 (2) ◽  
pp. E571-E572 ◽  
Author(s):  
Hideyuki Kano ◽  
Kyung-Jae Park ◽  
Aditya K. Iyer ◽  
Ajay Niranjan ◽  
John Flickinger ◽  
...  

2017 ◽  
Vol 78 (S 01) ◽  
pp. S1-S156
Author(s):  
Kevin Cross ◽  
Brendan Fong ◽  
Ananth Vellimana ◽  
Julie Silverstein ◽  
Michael Chicoine ◽  
...  

2004 ◽  
Vol 17 (2) ◽  
pp. 41-44 ◽  
Author(s):  
Michelle M. Inserra ◽  
Markus Pfister ◽  
Robert K. Jackler

The goal in paraganglioma resection is to allow adequate exposure to remove the lesion while preserving cranial nerve function. Knowledge of the anatomy of the jugular foramen is crucial to this endeavor. In this report the authors describe a jugular foramen approach for the resection of glomus jugulare tumors in cases in which rerouting of the facial nerve can be avoided. This approach provides adequate exposure of the jugular bulb for many jugulotympanic paragangliomas without increased risk of injury to the facial nerve. In addition, special circumstances surrounding intracranial and carotid artery involvement are briefly discussed.


The neurological assessment incorporates the assessment of the patient’s level of consciousness, cognition, cranial nerve function, and motor, sensory, and cerebellar function. A comprehensive, good-quality neurological assessment is able to detect early changes and deterioration in neurological status. It enables to practitioner to establish a baseline for later comparison to judge the patient’s response to specific medical and nursing interventions.


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