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Facts and Myths of Primitive Trepanations

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Trepanation, Trephining and Craniotomy

Abstract

A primitive or prehistoric culture is defined if is lacking of any written document. Regarding trepanation almost all information is obtained from human remains founded in burial sites. The interest for primitive trepanations started when Paul Broca studied in 1867 a Peruvian trepanned skull brought by the American archaeologist Ephraim George Squier. Most of the proposals about primitive trepanations are speculative. The indications for primitive trepanations include only a scarce number of cases of skull fractures of mastoiditis. The lack of recognisable pathology and the high survival rates suggest a magical-religious justification of the procedure. Some myths about primitive trepanations are discussed: serious consequences for the patient of a brain injury that could be iatrogenically caused during the trepanation, the difficulty to open the skull and the belief that trepanation was a sophisticated surgical intervention. The trepanations of the primitive cultures are already over. The spread of modern Western civilisation and uses in all corners of the world make it virtually impossible for it to continue its practice in any contemporary culture.

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References

  1. Prestigiacomo CJ. Why study the early history of Neurosurgery. Neurosurg Focus. 2007;23:E(Intro).

    Article  Google Scholar 

  2. Verano JW, Finger S. Ancient trepanation. In: Finger S, Boller F, Tyler KL, editors. History of neurology, Handbook of clinical neurology, vol. 95. Edinburgh: Elsevier; 2010. p. 3–14.

    Chapter  Google Scholar 

  3. Broca P. Cas singulier de trépanation chez les Incas. Bull Soc Anthropol Paris. 1867;2:403–8.

    Google Scholar 

  4. Clower WT, Finger S. Discovering trepanation: the contribution of Paul Broca. Neurosurgery. 2001;49:1417–25.

    Article  CAS  Google Scholar 

  5. Finger S, Clower WT. On the birth of trepanation: the thoughts of Paul Broca and Victor Horsley. In: Arnott R, Finger S, Smith CUM, editors. Trepanation. History, discovery, theory. Lisse: Swets & Zeitlinger; 2003. p. 19–42.

    Google Scholar 

  6. Squier EG. Peru. Incidents of travel and exploration in the land of the Incas. New York: Harper & Brothers; 1877.

    Google Scholar 

  7. de Nadaillac M. Manners and monuments of prehistoric peoples (translated by Nancy Bell). London: Strand the Knickerbocker Press; 1894.

    Google Scholar 

  8. Verano J. La trepanación como tratamiento terapéutico para fracturas craneales en el antiguo Perú. Est Antropol Biol. 1997;VIII:65–81.

    Google Scholar 

  9. Petrone P, Niola M, Di Lorenzo P, Paternoster M, Graziano V, Quaremba G, et al. Early medical skull surgery for treatment of post-traumatic osteomyelitis 5,000 years ago. PLoS One. 2015;10:e0124790.

    Article  Google Scholar 

  10. Taveras JM, Wood EH. Diagnóstico neuro-radiológico. Buenos Aires: Editorial Médica Panamericana; 1978.

    Google Scholar 

  11. Campillo D. La trepanación prehistórica. Barcelona: Bellaterra; 2007.

    Google Scholar 

  12. de la Vega G. Historia general del Perú (Libro Quinto, capítulo XX). Córdova: Viuda de Andrés Barrera; 1617.

    Google Scholar 

  13. Laín Entralgo P. Historia de la Medicina. Barcelona: Salvat Editores SA; 1978.

    Google Scholar 

  14. André C. Evolving story: trepanation and self-trepanation to enhance brain function. Arq Neuropsiquiatr. 2017;75:307–13.

    Article  Google Scholar 

  15. Dirr, A. Trepanation als gerichtlicher Beweis im Kaukasus. In: Kopper W, editor. Festschrift/Publication d’hommage offerte au P.W. Schmidt: 76 sprachwissenschaftliche, ethnologische, religionswissenschaftliche, prähistorische und andere Studien/Recueil de 76 études de linguistique, d’ethnologie, de science religieuse, de préhistoire et autres. Wien: Mechitaristen-Congregations-Buchdruckerei; 1928.

    Google Scholar 

  16. Marino R, Gonzales-Portillo M. Preconquest Peruvian neurosurgeons: a study of Inca and pre-Columbian trephination and the art of medicine in ancient Peru. Neurosurgery. 2000;47:940–50.

    Article  Google Scholar 

  17. Papagrigorakis MJ, Toulas P, Tsilivakos MG, Kousoulis AA, Skorda D, Orfanidis G, et al. Neurosurgery during the Bronze Age: a skull trepanation in 1900 BC Greece. World Neurosurg. 2014;81:431–5.

    Article  Google Scholar 

  18. Goodrich JT, Flamm ES. Historical overview of neurosurgery. In: Winn HR, editor. Youmans neurological surgery. 6th ed. Philadelphia: Elsevier/Saunders; 2011. p. 3–37.

    Chapter  Google Scholar 

  19. Moghaddam N, Mailler-Burch S, Kara L, Kanz F, Jackowski C, Lösch S. Survival after trepanation. Early cranial surgery from Late Iron Age Switzerland. Int J Paleopathol. 2015;11:56–65.

    Article  Google Scholar 

  20. Comas J. La supuesta difusión transatlántica de la trepanación prehistórica. Anuario de Estudios Atlánticos. 1971;17:245–61.

    Google Scholar 

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González-Darder, J.M. (2019). Facts and Myths of Primitive Trepanations. In: Trepanation, Trephining and Craniotomy . Springer, Cham. https://doi.org/10.1007/978-3-030-22212-3_3

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  • DOI: https://doi.org/10.1007/978-3-030-22212-3_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-22211-6

  • Online ISBN: 978-3-030-22212-3

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