Skip to main content

The First Documented Reports of the Surgical Trepanations Appear in the Corpus Hippocraticum: Greco-Roman Trepanations

  • Chapter
  • First Online:
Trepanation, Trephining and Craniotomy

Abstract

The first text where the technique and indications of the cranial trepanation were documented is in the book titled ‘On Wounds of the Head’ belonging to the ‘Corpus Hippocraticum’, a collection of around 50 books attributed to Hippocrates of Kos (460–337 BC). In this chapter we track the trepanation in the Greco-Roman culture reviewing the points of view of Hippocrates, Celsus, Galen and Aegineta. We highlight the differences between magic-religious primitive trepanations and surgical trepanations started at that time. We review also the trepanations in the Ancient Egypt, very scarce but magnified and extended in the media thanks to the bestseller novel ‘Sinuhé egyptiläinen’, from the Finnish writer Mika Waltari (1908–1979).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tullo E. Trepanation and Roman medicine: a comparison of osteoarchaeological remains, material culture and written texts. J R Coll Physicians Edinb. 2010;40:165–71.

    Article  CAS  Google Scholar 

  2. Collado-Vázquez S, Carrillo JM. Cranial trepanation in The Egyptian. Neurologia. 2014;29:433–40.

    Article  Google Scholar 

  3. Walkari M. Sinuhé, el Egipcio (translation by M Bosch Barret). Barcelona: Ediciones GP; 1959.

    Google Scholar 

  4. Lull J. Aventuras de un egipcio en el exilio: Sinuhé. Hist National Geographic. 2016;156:40–63.

    Google Scholar 

  5. Alby JC. La concepción antropológica de la medicina hipocrática. Enfoque. 2004;1:5–29.

    Google Scholar 

  6. García-Gual C. Tratados Hipocráticos. Madrid: Editorial Gredos; 1983.

    Google Scholar 

  7. Laín Entralgo P. La Medicina Hipocrática. Madrid: Ediciones de la Revista de Occidente; 1970.

    Google Scholar 

  8. Adams CD. The genuine works of Hippocrates. New York: Dover; 1868.

    Google Scholar 

  9. Montemayor J. Medicina y cirugía de Vulneribus Capitis. Zaragoza: Juan de Ibar; 1651.

    Google Scholar 

  10. Chang A, Lad EM, Lad SP. Hippocrates’ influence on the origins of neurosurgery. Neurosurg Focus. 2007;23:E9.

    Article  Google Scholar 

  11. Missios S. Hippocrates, Galen, and the uses of trepanation in the ancient classical world. Neurosurg Focus. 2007;23:E11.

    Article  Google Scholar 

  12. Mountrakis C, Georgaki S, Manolis SK. A trephined late bronze age skull from Peloponnesus, Greece. Med Arch Arch. 2011;11:1–8.

    Google Scholar 

  13. 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 

  14. Forniciari G. Discovery of the first Hippocratic cranial trepanation from the Greek colony of Himera, Sicily (6th=5th century B.C.); 2010. http://www.paleopatologia.it/articoli /stampa.php?recordID=147

  15. Spencer WG (transl). De Medicina. Celsus. Cambridge: Harvard University Press; 1935.

    Google Scholar 

  16. Coxe JR. Writings of Hippocrates and Galen. Philadelphia: Lindsay and Blakiston; 1846.

    Google Scholar 

  17. Gleason MW. Galen’s anatomical performances. In: Gill C, Whitmarsh T, Wilkins J, editors. Galen and the world of knowledge. Cambridge: Cambridge University Press; 2010. p. 1–30.

    Google Scholar 

  18. Adams F. The seven books of Paulus of Aegineta, vol. 2. London: Sydenham Society; 1846.

    Google Scholar 

  19. Mariani-Constantini R, di Tota G, Catalano P, Ottini L, Angeletti LR. Cranial trepanation in Graeco-Roman medicine. J Paleopathol. 1999;11:5–11.

    Google Scholar 

  20. Brothwell DR. Osteological evidence of the use of a surgical modiolus in a Romano-British population: an aspect of primitive technology. J Archeol Sci. 1974;1:209–11.

    Article  CAS  Google Scholar 

  21. Fabbri PF, Lonoce N, Masieri M, Caramella D, Valentino M, Vassallo S. Partial cranial trephination by means of Hippocrates’ trypanon from 5th century BC Himera (Sicily, Italy). Int J Osteoarchaeol. 2012;22:194–200.

    Article  Google Scholar 

  22. Mariani-Constantini M, Catalano P, di Gennaro F, di Tota G, Angeletti LR. New light on cranial surgery in ancient Rome. Lancet. 2000;335:305–7.

    Article  Google Scholar 

  23. Tsermoulas G, Aidonis A, Flint G. The skull of Chios: trepanation in Hippocratic medicine. J Neurosurg. 2014;121:328–32.

    Article  Google Scholar 

  24. Novak M, Nad M, Plese T, Cavda M. Skeletal evidence of trepanning on a 5th century skull from Ludbreg, Croatia. Acta Med-Hist Adriat. 2013;11:197–212.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

González-Darder, J.M. (2019). The First Documented Reports of the Surgical Trepanations Appear in the Corpus Hippocraticum: Greco-Roman Trepanations. In: Trepanation, Trephining and Craniotomy . Springer, Cham. https://doi.org/10.1007/978-3-030-22212-3_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-22212-3_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-22211-6

  • Online ISBN: 978-3-030-22212-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics