The Pierre Wertheimer Neurological and Neurosurgical Hospital in Lyon: history of its development and contributions to neurosurgery.

At the end of the 1950s, at the direction of Pierre Wertheimer, the first French professor of neurosurgery, the treatment of neurological and neurosurgical diseases for Lyon's 2 million people was concentrated in a single center functioning as not only a hospital but also a campus for neuroscience. The ideas behind the structure revolve around concepts such as spatial unity, comprehensive specialized fields, a critical mass of patients, a structured training program, and essential cross-communication between areas in the same field. Through several generations of doctors, researchers, and professors, the Pierre Wertheimer Neurological and Neurosurgical Hospital in Lyon (NHL) has had an important impact on clinical practice, fundamental neuroscientific research, and specialist training. Under Wertheimer's stewardship, functional neurosurgery became one of the fields of excellence at the NHL with contributions in pain surgery and physiology but also epilepsy surgery and surgery for spasticity. Typically, these contributions were the result of the collaboration of separate teams, ultimately laying the groundwork for a neuroscientific doctoral school. The large mass of patients treated at the NHL provided opportunities for other, more isolated insights, such as the classification of pineal tumors and contributions to interventional neuroradiology. The present work endeavors to illustrate the contributions of the NHL to neuroscience and discuss the background allowing for their occurrence.

[1]  S. Asa,et al.  Overview of the 2022 WHO Classification of Pituitary Tumors , 2022, Endocrine Pathology.

[2]  J. Livesay A History of Cardiac Surgery: An Adventurous Voyage from Antiquity to the Artificial Heart. , 2020, Texas Heart Institute journal.

[3]  M. Sindou,et al.  Topography of the pain in classical trigeminal neuralgia: insights into somatotopic organization. , 2020, Brain : a journal of neurology.

[4]  M. Sindou,et al.  Reliability of MRI for predicting characteristics of neurovascular conflicts in trigeminal neuralgia: implications for surgical decision making. , 2019, Journal of neurosurgery.

[5]  S. Ezzat,et al.  From pituitary adenoma to pituitary neuroendocrine tumor (PitNET): an International Pituitary Pathology Club proposal. , 2017, Endocrine-related cancer.

[6]  H. Bastuji,et al.  Pain networks from the inside: Spatiotemporal analysis of brain responses leading from nociception to conscious perception , 2016, Human brain mapping.

[7]  K. Burchiel Trigeminal Neuralgia: New Evidence for Origins and Surgical Treatment. , 2016, Neurosurgery.

[8]  R. Treede,et al.  Trigeminal neuralgia New classification and diagnostic grading for practice and research , 2016 .

[9]  Philippe Kahane,et al.  Temporal plus epilepsy is a major determinant of temporal lobe surgery failures. , 2016, Brain : a journal of neurology.

[10]  M. Sindou,et al.  Keyhole interlaminar dorsal rhizotomy for spastic diplegia in cerebral palsy , 2015, Acta Neurochirurgica.

[11]  M. Sindou,et al.  Atrophic changes in the trigeminal nerves of patients with trigeminal neuralgia due to neurovascular compression and their association with the severity of compression and clinical outcomes. , 2014, Journal of neurosurgery.

[12]  D. Figarella-Branger,et al.  A new prognostic clinicopathological classification of pituitary adenomas: a multicentric case–control study of 410 patients with 8 years post-operative follow-up , 2013, Acta Neuropathologica.

[13]  P. Mertens,et al.  Anatomical study of the central myelin portion and transitional zone of the vestibulocochlear nerve , 2012, Acta Neurochirurgica.

[14]  E. Emery La chirurgie de la douleur , 2010 .

[15]  L. Tremblay,et al.  Non-motor dopamine withdrawal syndrome after surgery for Parkinson's disease: predictors and underlying mesolimbic denervation. , 2010, Brain : a journal of neurology.

[16]  M. Sindou,et al.  Microvascular decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. , 2007, Journal of neurosurgery.

[17]  N. Costes,et al.  Motor cortex stimulation for pain control induces changes in the endogenous opioid system , 2007, Neurology.

[18]  B. Scheithauer,et al.  The 2007 WHO Classification of Tumours of the Central Nervous System , 2007, Acta Neuropathologica.

[19]  P. Pollak,et al.  Contribution of Jules Froment to the study of Parkinsonian rigidity , 2007, Movement disorders : official journal of the Movement Disorder Society.

[20]  M. Sindou,et al.  Results of attempted radical tumor removal and venous repair in 100 consecutive meningiomas involving the major dural sinuses. , 2006, Journal of neurosurgery.

[21]  P. Mertens,et al.  Microsurgical lesioning in the dorsal root entry zone for pain due to brachial plexus avulsion: a prospective series of 55 patients. , 2005, Journal of neurosurgery.

[22]  François Mauguière,et al.  SEEG‐guided RF Thermocoagulation of Epileptic Foci: Feasibility, Safety, and Preliminary Results , 2004, Epilepsia.

[23]  M. Sindou,et al.  Preoperative neuroimaging findings as a predictor of the surgical plane of cleavage: prospective study of 100 consecutive cases of intracranial meningioma. , 2004, Journal of neurosurgery.

[24]  J. Bullier,et al.  Single-Unit Analysis of the Spinal Dorsal Horn in Patients With Neuropathic Pain , 2003, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society.

[25]  P. Mertens,et al.  Microsurgical DREZotomy for pain due to spinal cord and/or cauda equina injuries: long-term results in a series of 44 patients , 2001, Pain.

[26]  C Confavreux,et al.  Relapses and progression of disability in multiple sclerosis. , 2000, The New England journal of medicine.

[27]  M. Sindou Neurophysiological Navigation in the Trigeminal Nerve: Use of Masticatory Responses and Facial Motor Responses Evoked by Electrical Stimulationof the Trigeminal Rootlets for RF-Thermorhizotomy Guidance , 2000, Stereotactic and Functional Neurosurgery.

[28]  F. Mauguière,et al.  Flexion reflexes following anterolateral cordotomy in man: dissociation between pain sensation and nociceptive reflex RIII , 1993, Pain.

[29]  V. Ibáñez,et al.  Dorsal horn and dorsal column dysfunction in intramedullary cervical cord tumours. A somatosensory evoked potential study. , 1992, Brain : a journal of neurology.

[30]  M Sindou,et al.  The human cervical and lumbo-sacral evoked electrospinogram. Data from intra-operative spinal cord surface recordings. , 1991, Electroencephalography and clinical neurophysiology.

[31]  F. Mauguière,et al.  Nociceptive flexion reflexes during analgesic neurostimulation in man , 1989, Pain.

[32]  M. Jouvet,et al.  Genetic Studies of Sleep in Mice , 1972, Nature.

[33]  M. Jouvet,et al.  Biogenic amines and the states of sleep. , 1969, Science.

[34]  M. Sindou,et al.  Neurosurgery for Spasticity: A Practical Guide for Treating Children and Adults , 2022 .

[35]  M. Guenot,et al.  Microdialysis study of amino acid neurotransmitters in the spinal dorsal horn of patients undergoing microsurgical dorsal root entry zone lesioning. Technical note. , 2001, Journal of neurosurgery.

[36]  F Mauguière,et al.  The role of parietal opercular and insular cortex in pain sensation in humans: data from PET activation studies and intracortical recordings of CO2 laser evoked potentials (LEPs). , 1999, Electroencephalography and clinical neurophysiology. Supplement.

[37]  B. Stein Intramedullary spinal cord tumors. , 1983, Clinical neurosurgery.

[38]  M. Sindou,et al.  Fiber organization at the posterior spinal cord‐rootlet junction in man , 1974, The Journal of comparative neurology.

[39]  M Trede,et al.  [Surgical treatment of peripheral circulation disorders]. , 1973, Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin.

[40]  M. Jouvet,et al.  [On a stage of rapid cerebral electrical activity in the course of physiological sleep]. , 1959, Comptes rendus des seances de la Societe de biologie et de ses filiales.