title: Harvey Cushing and "birth hemorrhage": early pediatric neurosurgery at The Johns Hopkins Hospital.
abstract: Of Harvey Cushing's many contributions to neurosurgery, one of the least documented is his early surgical intervention in children and his pioneering efforts to establish pediatric neurosurgery as a subspecialty. Between 1896 and 1912 Cushing conducted nearly 200 operations in children at The Johns Hopkins Hospital. A review of his records suggests that the advances he made in neurosurgery were significantly influenced by his experience with children. In this historical article, the authors describe Cushing's treatment of 6 children, in all of whom Cushing established a diagnosis of "birth hemorrhage." By reviewing Cushing's operative indications, techniques, and outcomes, the authors aim to understand the philosophy of his pediatric neurosurgical management and how this informed his development of neurosurgery as a new specialty.
authors: Division of Pediatric Neurosurgery, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
authors: Vivek A
authors: VA
authors: Mehta
authors: Olindi
authors: O
authors: Wijesekera
authors: Courtney
authors: C
authors: Pendleton
authors: Alfredo
authors: A
authors: Quiñones-Hinojosa
authors: George I
authors: GI
authors: Jallo
authors: Edward S
authors: ES
authors: Ahn
mesh_terms: D015142:Baltimore; D049672:History, 19th Century; D049673:History, 20th Century; D006785:Hospitals, University / Q000266:history; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020300:Intracranial Hemorrhages / Q000175:diagnosis / Q000601:surgery*; D009493:Neurosurgery / Q000266:history* / Q000379:methods; D019635:Neurosurgical Procedures / Q000266:history* / Q000379:methods; D010372:Pediatrics / Q000266:history* / Q000379:methods