First documented clinical account of brachial plexus palsy from the 12th century

2021 ◽  
pp. 1-7
Author(s):  
Jaafar Basma ◽  
Andrew J. Gienapp ◽  
Kenan I. Arnautovic ◽  
Petros Konofaos
Keyword(s):  
Brachial Plexus ◽  
Middle Ages ◽  
18Th Century ◽  
The Body ◽  
Brachial Plexus Palsy ◽  
12Th Century ◽  
Clinical Description ◽  
Neurological Injuries ◽  
Western Perspective ◽  
The Middle Ages

OBJECTIVE Although literary depiction of brachial plexus injury can be traced to Homer’s Iliad, there is a scientific consensus that the first clinical description of brachial plexus palsy was not documented until the British physician Smellie reported it in the 18th century. However, the authors’ recent review of the Syriac Book of Medicines (12th century) has uncovered a much earlier clinical documentation. METHODS For this historical vignette, the authors reviewed the historical and anatomical literature regarding earlier descriptions of brachial plexus anatomy and pathology, including a thorough analysis of the Syriac Book of Medicines (attributed to an unknown Syriac physician in the Middle Ages) and Galen’s On Anatomical Procedures and On the Usefulness of the Parts of the Body. RESULTS Building on the galenic tradition with reference to independent dissections, the Syriac physician discussed nervous system anatomy and the clinical localization of neurological injuries. He described a patient who, after initial pulmonary symptoms, developed upper-extremity weakness more pronounced in the proximal muscles. His anatomical correlation placed the injury “where the nerves issue from the first and second muscles between the ribs” (scalene muscles), are “mixed,” and “spread through many parts.” The patient’s presentation and recovery raise the possibility of Parsonage-Turner syndrome. The anatomical description of the brachial plexus is in line with Galen’s earlier account and step-by-step surgical exposure, which the authors reviewed. They also examined Ibn Ilyas’ drawing of the brachial plexus, which is believed to be a copy of the earliest artistic representation of the plexus. CONCLUSIONS Whereas the Middle Ages were seen as a period of scientific stagnation from a Western perspective, Galen’s teachings continued to thrive and develop in the East. Syriac physicians were professional translators, clinicians, and anatomists. There is evidence that brachial plexus palsy was documented in the Syriac Book of Medicines 6 centuries before Smellie.

scholarly journals “ALL IN ONE OR (W)HOLE IN ONE REPAIR” for Adult Total Brachial Plexus Palsy

2021 ◽  
Author(s):  
V. Purushothaman ◽  
K. Vinoth Kumar ◽  
Sabari Girish Ambat ◽  
R. Venkataswami
Keyword(s):  
Brachial Plexus ◽  
Hand Function ◽  
The Body ◽  
Salvage Procedure ◽  
Brachial Plexus Palsy ◽  
Nerve Reconstruction ◽  
Muscle Transfer ◽  
Young Males ◽  
Elbow Function ◽  
Better Than

Abstract Background Total brachial plexus palsy (TBPP) accounts for nearly 50% of all brachial plexus injuries. Since achieving a good functional hand was almost impossible, the aim was settled to get a good shoulder and elbow function. It was Gu, who popularized the concept of utilizing contralateral C7 (CC7) with vascularized ulnar nerve graft (VUNG) to get some hand function. We have modified it to suit our patients by conducting it as a single-stage procedure, thereby trying to get a functional upper limb. Methods From 2009 to 2014, we had 20 TBPP patients. We feel nerve reconstruction is always better than any other salvage procedure, including free muscle transfer. We modified Gu's concept and present our concept of total nerve reconstruction as “ALL IN ONE OR (W)HOLE IN ONE REPAIR.” Results All patients able to move their reconstructed limbs independently or with the help of contralateral limbs. Three patients developed hook grip and one patient was able to incorporate limbs to do bimanual jobs. One important observation is that all the reconstructed limbs regain the bulk, and to a certain extent, the attitude and appearance looks normal, as patients no longer hide it or hang it in a sling. Conclusion Adult brachial plexus injury itself is a devastating injury affecting young males. By doing this procedure, the affected limb is not dissociated from the rest of the body and rehabilitation can be aimed to get a supportive limb.

The Cult of St Edmund, King and Martyr in Medieval Ireland

2018 ◽  
Vol 136 (4) ◽  
pp. 223-238 ◽  
Author(s):  
Francis Young
Keyword(s):  
Middle Ages ◽  
Anglo Saxon ◽  
Norman Conquest ◽  
14Th Century ◽  
Patron Saint ◽  
12Th Century ◽  
Anglo Norman ◽  
Christ Church ◽  
Medieval Ireland ◽  
The Middle Ages

St Edmund, king and martyr (an Anglo-Saxon king martyred by the Vikings in 869) was one of the most venerated English saints in Ireland from the 12th century. In Dublin, St Edmund had his own chapel in Christ Church Cathedral and a guild, while Athassel Priory in County Tipperary claimed to possess a miraculous image of the saint. In the late 14th century the coat of arms ascribed to St Edmund became the emblem of the king of England’s lordship of Ireland, and the name Edmund (or its Irish equivalent Éamon) was widespread in the country by the end of the Middle Ages. This article argues that the cult of St Edmund, the traditional patron saint of the English people, served to reassure the English of Ireland of their Englishness, and challenges the idea that St Edmund was introduced to Ireland as a heavenly patron of the Anglo-Norman conquest.

scholarly journals Procesy i egzekucje „żywych trupów” przed sądami miejskimi i wiejskimi w XVI–XVIII wieku – przyczynek do wierzeń w magia posthuma na Śląsku

2019 ◽  
Vol 16 (4 (1)) ◽  
pp. 77-92
Author(s):  
Daniel Wojtucki
Keyword(s):  
Middle Ages ◽  
18Th Century ◽  
Source Material ◽  
Expert Witnesses ◽  
The Poor ◽  
Living Dead ◽  
The Dead ◽  
The Middle Ages

There are references reaching back to the Middle Ages, regarding the fear of the “undead” or “living dead” who would rise from their graves in a local cemetery to haunt and harm the community. The fear of the “undead” was extremely strong, and the entailing hysteria often affected entire communities. In the 16th to the 18th century, in Silesia, effective forms of coping with the harmful deceased were developed. Analysing the preserved source material, we are able to determine that the basic actions involved finding the grave of the “undead” in the cemetery, exhuming the corpse and destroying it. However, this did not always mean the total annihilation of the poor man’s corpse. The trial and execution of the corpse of a person suspected of the harmful activity against the living took place observing almost the same rules as in the case of the living. Apart from the authorities, who usually commissioned local jurors to handle the situation, opinions and advice were also sought from the clergy as well as gravediggers and executioners. The last were considered to be experts of sorts and were often called upon to see corpses of the suspected dead. In the analysed cases of posthumous magic (magia posthuma) in Silesia, we deal with two directions of handling the corpse accused of a harmful posthumous activity. In both cases, the main decision was made to remove such corpses from the cemetery’s area. Costs of the trial and execution of the “undead” were considerable. They included expenses incurred due to rather frequent court hearings at which sometimes dozens of witnesses were heard, payments to expert witnesses, payments to guards watching graves, costs of legal instructions, services of gravediggers who would dig up suspicious graves, and, finally, the remuneration of executioners and their people. In the second half of the 18th century, despite relevant decrees issued by supreme authorities, trials and executions of the dead were not completely abandoned.

The Japanese Village in the Seventeenth Century

1952 ◽  
Vol 12 (1) ◽  
pp. 1-20
Author(s):  
Thomas C. Smith
Keyword(s):  
Seventeenth Century ◽  
Middle Ages ◽  
The Body ◽  
Social Classes ◽  
Vital Function ◽  
The West ◽  
Social Body ◽  
The Social ◽  
Physical Barriers ◽  
The Middle Ages

As in the Middle Ages in the West, so in Tokugawa Japan (1600–1868) men were fond of explaining the hierarchical society in which they lived by comparing it to an organism. Social classes, Confucian scholars said, were like parts of the body: each had a vital function to perform, but their functions were essentially different and unequal in value. In this scheme the peasants were second in importance only to the ruling military class. Just as the samurai officials were the brains that guided other organs, so the peasants were the feet that held the social body erect. They were the “basis of the country,” the valued producers whose labor sustained all else. But, as a class, they tended innately to backsliding and extravagance. Left alone they would consume more than their share of the social income, ape the manners and tastes of their betters, and even encroach upon the functions of other classes to the perilous neglect of their own. Only the lash of necessity and the sharp eye of the official could hold them to their disagreeable role. They had to be bound to the land; social distinctions had to be thrown up around them like so many physical barriers; and, to remove all temptation to indolence and luxury, they had to be left only enough of what they produced to let them continue producing.

CHARTRES SCHOOL IN THE 12TH CENTURY CULTURAL RENAISSANCE: SUBSTANTIVE PRIORITIES AND EVOLUTION VECTORS

2021 ◽  
pp. 48-58
Author(s):  
Michael A. Kornienko ◽  
Keyword(s):  
Religious Education ◽  
Middle Ages ◽  
Western Europe ◽  
Natural Philosophy ◽  
The Body ◽  
Christian Mysticism ◽  
Chartres Cathedral ◽  
12Th Century ◽  
Cultural Renaissance ◽  
History Of

The author analyzes the prerequisites for the formation of a theological and philosophical school, founded in 990 by Bishop Fulbert in Chartres, which flourished during the years of the Episcopal ministry of Yves of Chartres (1090–1115), a recognized intellectual center of Western Europe. The role of the Chartres Cathedral School as a citadel of metaphysical, cosmological and natural-scientific Platonism in the era of early scholasticism is revealed. The philosophical orientation of the Chartres school (orientation to the ideas of Neoplatonism), as shown in the work, is the result of a combination of the ideas of Plato, aristotelism, stoicism, pythagoreanism, Eastern and Christian mysticism and religion. The body of ideas characteristic of the Neoplatonism tradition is analyzed, the account of which is essential in understanding the specifics of the Chartres school ideological platform: the ideas of a mystically intuitive knowledge of the higher, the stages of transition from “one and the universal” to matter, the idea of comprehension of pure spirituality. The thesis is substantiated that the time of the highest prosperity of the Chartres school, its highest fame is the XII century, which went down in the history of civilization as the era of the cultural renaissance taking place in France. The specificity of the 12th century renaissance, as shown in the study, lies in the growing interest in Greek philosophy and Roman classics (this also determines the other name of the era – the Roman Renaissance), in expanding the field of knowledge through the assimilation of Western European science and the philosophy of the ancient Greeks. The thesis in which the specifics of the entry of Greek science into the culture of Western Europe is also identified. This entry was carried out through the culture of the Muslim world, which also determined the specifics of the cultural renaissance of France of the XII century. Radical changes are revealed that affect the sphere of education and, above all, religious education; the idea of reaching the priority positions of philosophy and logic is substantiated – a situation that has survived until the end of the Middle Ages. This situation, as shown in the work, was facilitated by the rare growth rate of the translation centers of Constantinople, Palermo, Toledo. It is shown that scholasticism in its early version is oriented towards religious orthodoxy. In the teaching of philosophy, the vector turned out to be biased towards natural philosophy, which was due, as shown in the work, to the spread of the ideas of Aristotle and Plato. In its educational program, the school synthesized the teachings of Plato and Aristotle. Elements of natural philosophy are inherent in the works of Bernard of Chartres, Gilbert of Poitiers, Thierry of Chartres representing the Chartres school. Deep studies on the problem of universals ensured the invasion of logic in the field of metaphysical constructions of the Chartres school.

Garlic Burns

PEDIATRICS ◽  
1993 ◽  
Vol 91 (3) ◽  
pp. 658-659
Author(s):  
BEN-ZION GARTY
Keyword(s):  
Chest Pain ◽  
Middle Ages ◽  
Allium Sativum ◽  
Fifth Century ◽  
The Body ◽  
Babylonian Talmud ◽  
The Middle Ages

Five things have been said about garlic: it assauges hunger, warms the body, brings joy, increases virility and destroys intestinal lice. There are those who say that it engenders love and dispels envy. —Babylonian Talmud: Baba Kama (first gate) page 82 Garlic (Liliaceae Allium sativum) has been used for centuries by many cultures as a remedy for a variety of illnesses. Herodotus spoke about the medical use of garlic in Egypt, 3000 years BC. Hippocrates, in the fifth century BC, used garlic to treat a variety of infections, including leprosy, intestinal disorders, and chest pain. In the Middle Ages garlic was used for protection against the plague.

The Easter Sepulchrum in its Relation to the Architecture of the High Altar

PMLA ◽  
1916 ◽  
Vol 31 (4) ◽  
pp. 664-712
Author(s):  
John K. Bonnell
Keyword(s):  
Middle Ages ◽  
Tenth Century ◽  
The Body ◽  
Good Friday ◽  
The Cross ◽  
The Middle Ages

By the term ‘sepulehrum’ is designated that device or structure employed in churches—especially in the middle ages—to symbolize, or in more complete manner to represent, the tomb of Christ. This sepulchrum, so named in the liturgy, first appears in connection with the ancient office of the Depositio Crucis, or burial of the cross, which after mass on Good Friday typified the burial of Christ. Complementing and completing the Depositio was another office, privately celebrated by the priest and clergy before matins on Easter Sunday, typifying the resurrection, and called the Elevatio Crucis. When, after the tenth century, troping of the Introit for Easter morning—the famous Quem Quaeritis—developed into a little liturgical play with the impersonation of the angel or angels, and of the three Maries coming to anoint the body of the Lord, there was naturally a development of the heretofore symbolic sepulchrum in the altar, into what resulted finally in a separate structure.

7. The ‘Middle Ages’ in our daily lives

2014 ◽  
pp. 116-125
Author(s):  
Miri Rubin
Keyword(s):  
Middle Ages ◽  
Social Mobility ◽  
Young Adulthood ◽  
Civil Law ◽  
Daily Lives ◽  
12Th Century ◽  
Church Law ◽  
The Church ◽  
The Middle Ages ◽  
Poetry And Music

‘The “Middle Ages” in our daily lives’ discusses some of the legacies of this period: universities, the printed book, and song. The 12th century saw increased specialization in centres of learning under the auspices of emperors, kings, and popes. Universities were first created in Bologna and Paris, and offered the highest training in medicine, church law, and civil law. It trained those who went on to become the highest state officials and prelates of the church. The culture of young adulthood fostered in universities, and the possibilities for social mobility they afforded, is still seen today. The development of the printed book and the combination of poetry and music in song is also considered.

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