As recalled by Harold H. Noran, M. D.
change in the specialty of Neurology was the splitting of Neuropsychiatry into
separate specialties of Neurology and Psychiatry. The University had both
divisions under Neuropsychiatry and eventually became two separate departments.
Under A. B; Baker, the Department of Neurology became one of the largest
academic training centers in the country.
Several years ago
the Hennepin County Society of Neurology was formed and shortly thereafter was
expanded to include
Various procedures have appeared with rapid growth to enhance the diagnosis and treatment and understanding of neurological disease. One can only mention some: electroencephalography, angiography of both the brain and spinal cord, the pneumoencephalogy chair with tomography, spinogram refinements including clivograms, improved muscle biopsy with enzymatic stains, the electronmicroscope, brain scanning, the electromyogram, and EMI scanner (computerized axial tomography).
One cannot close
without mentioning the L-dopa treatment of Parkinson’s disease which has
largely replaced the surgical therapies. The important discovery of slow virus
disease seems destined to explain at least some of the degenerative diseases as
has occurred in Jacob Creutchfeld’s
disease and Kuru. Also, one must mention the research
work done locally by the child neurologists to further our knowledge of genetic
and inborn errors of metabolim.
The discovery of
frequent extracranial disease of the cerebral
arteries as a common cause of strokes has led to increased interest in
anticoagulant and thrombolysin treatment. The
surgical repair of angiographic lesions of the carotid bifurcation has
demonstrated its value in preventing recurring T. I. A.’s
or transitory strokes. The discovery of auto-immunity has led to the steroid
therapy of conditions such as myasthenia gravis and multiple sclerosis. During
this period Neurology has become a treatment specialty and not just an
intellectual diagnostic exercise.
It is a pleasure
to conclude that
Harold H. Noran, M. D.