The Surgery of Brain Function

  • Peter H. Schurr
Part of the Ettore Majorana International Science Series book series (EMISS, volume 7)


As long ago as 1887 Dr. Hughlings Jackson found it necessary to define what was meant by ‘Brain Function’ and ‘Functional Charges’. Then, as now, the misuse of the word led to confusion. Jackson was the most far-seeing person of his day in matters of the structure and functions of the nervous system, and it is fitting that we should listen to what he had to say. In the lecture to which I am referring (9) he first dismisses the word ‘functional’ in the sense of hysterical or mere pretence. He goes on to say:

“I have long urged that the term ‘functional’ should be used as the adjective of the word ‘function’.... Function is a physiological term, it deals with the storing up of nutritive materials having potential energy, with nervous discharges (or liberations of energy by nerve cells); it has to do with rates of those liberations, with the resistances encountered, and with the different degrees of those resistances. Abnormalities of function are of two kinds, minus and plus. There are degrees from defect to loss of function .... We ought, I think, to endeavour to distinguish most carefully abnormal functional — that is abnormal physiological changes — from the pathological processes leading to them”


Cerebral Blood Flow Intracranial Pressure Brain Function Temporal Lobe Epilepsy Foramen Magnum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Backlund, E.O., (1979), “Advances and Technical Standards in Neurosurgery”, Ed. H. Kragenbuhl, 6. New York: Springer Verlag 3–37.CrossRefGoogle Scholar
  2. 2.
    Bridges, P.K., (1972), Proc. 65. 1104–1108.Google Scholar
  3. 3.
    Code of Practice on the removal of cadaveric organs for transplantation, (1979), DHSS, London: HMSO, pp 32–36.Google Scholar
  4. 4.
    Cooper, I.S., (1961), Parkinsonism. Its medical and surgical therapy, Springfield, Ill.: Chas. C. Thomas.Google Scholar
  5. 5.
    Falconer, M.A., (1965), Neurochirurgia 8. 161–172.Google Scholar
  6. 6.
    Falconer, M.A. and Serafetinides, E.A., (1963), J. Neurol. Neurosurg. Psychiat. 26. 154–165.CrossRefGoogle Scholar
  7. 7.
    Gillingham, F.J., (1976), Acta Neurochir., (Wien), Suppl. 23 263–269.Google Scholar
  8. 8.
    Henriksen, B.P., Juul-Jensen, P. and Lund, M., (1970), Life Assurance Medicine, Ed. R.D.C. Brackenridge, London, Pitman, pp 139–148.Google Scholar
  9. 9.
    Jackson, H., (1887), “Selected Writings of John Hughlings Jackson” Ed. J. Taylor, (1958), New York: Basic Books, P. 472.Google Scholar
  10. 10.
    Jensen, I., (1975), Acta neurol. Scand. 52. 354–394.CrossRefGoogle Scholar
  11. 11.
    Kaufmann, G.E. and Clark, K., (1970), J, Neurosurg, 33, 145–150.CrossRefGoogle Scholar
  12. 12.
    Langfitt, T.W., (1969), “Clinical Neurosurgery”, Ed. R.G. Ojemann. 16. Baltimore: Williams and Wilkins, 436–471.Google Scholar
  13. 13.
    Lassen, N.A., (1966), Lancet 2 1113–1115.CrossRefGoogle Scholar
  14. 14.
    Leksell, L., (1971), Stereotaxic and Radiosurgery — an operative system. Springfield, Ill.: Chas. C. Thomas.Google Scholar
  15. 15.
    Lewin, W.S., (1961), J. Neurol. Neurosurg. Psychiat. 24. 37–44.CrossRefGoogle Scholar
  16. 16.
    Lewin, W.S., (1973), “Surgical Approaches in Psychiatry”, Ed. L.V. Laitinen and K.E. Livingstone, Lancaster: Med. and Tech. Publ., pp 69–73.Google Scholar
  17. 17.
    Lundberg, N., (1960), Acta psych. neurol. Scand. Suppl. 149. 216. 1–193.Google Scholar
  18. 18.
    Maclean, P.D., (1958), J. Nerv.ment. Dis. 127. 1–11.CrossRefGoogle Scholar
  19. 19.
    Meyer, A., Martin, W.L., McGraw, C.P., et al. (1973), “Surgical Approaches in Psychiatry”, Ed. L.V. Laitinen and K.E. Livingstone, Lancaster: Med. and Tech. Publ., pp 39–58.Google Scholar
  20. 20.
    Miller, J.D., Becker, D.P., Ward, J.D., et al., (1977), J. Neurosurg. 47. 503–516.CrossRefGoogle Scholar
  21. 21.
    Narabyashi, H. and Shina, F., (1973), “Surgical Approaches in Psychiatry”, Ed. L.V. Laitinen and K.E. Livingstone, Lancaster: Med. and Tech. Publ. pp 129–134.Google Scholar
  22. 22.
    Papez, J.W., (1937), Arch. Neurol. psychiat. (Chicago), 38. 725–743.Google Scholar
  23. 23.
    Post, F., Rees, W.L. and Schurr, P.H., (1968), Brit. J. Pschiat. 114. 1223–1246.CrossRefGoogle Scholar
  24. 24.
    Rasmussen, T., (1969), “Clinical Neurosurgery”, Ed. R.G. Ojemann, 16. Baltimore: Williams and Wilkins, 288–314.Google Scholar
  25. 25.
    Rasmussen, T., (1979), “Functional Neurosurgery, Ed. T. Rasmussen, New York: Raven Press, pp 253–269 and preface.Google Scholar
  26. 26.
    Schaltenbrand, G. and Bailey, P., (1959), A Stereotaxic Atlas of the Human Thalamus and Adjacent Structures, Baltimore: Williams and Wilkins.Google Scholar
  27. 27.
    Schurr, P.H., (1973), Brit. J. Hosp. Med. 10. 53–60.Google Scholar
  28. 28.
    Schurr, P.H. and Merrington, W.R., (1978), Brit. J. Surg. 65. 33–36.CrossRefGoogle Scholar
  29. 29.
    Schurr, P.H. and Wickbom, (1952), J. Neurol. Neurosurg. Psychiat. 15. 110–118.CrossRefGoogle Scholar
  30. 30.
    Spiegel, E.A., Wycis, H.T., Marks, M. and Lee, A.J., (1947), Science, 106. 349–350.CrossRefGoogle Scholar
  31. 31.
    Zervas, N.T., Cosman, E.R. and Cosman, B.J., (1976), J. Neurosurg. 47. 899–911.Google Scholar

Copyright information

© Plenum Press, New York 1981

Authors and Affiliations

  • Peter H. Schurr
    • 1
  1. 1.The Neurosurgical UnitMaudsley HospitalLondonUK

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