Hubert von Luschka (1820–1875): his life, discoveries, and contributions to our understanding of the nervous system

Tubbs, R. Shane; Vahedi, Payman; Loukas, Marios; Shoja, Mohammadali Mohajel; Cohen-Gadol, Aaron

doi:10.3171/2010.8.jns10683

Cited by 22 publications

(24 citation statements)

References 3 publications

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“…12 Luschka hypothesized that through a degenerative origin, a synovial membrane was formed and created the joint. 12,19 Years later, Hadley 6 had a difficult time showing that these joints were synovial. However, he noticed that the outwardly protruding lips of the superior surfaces of each VB are separated from one another by less than one-third the normal height of the disc (Fig.…”

Section: Differing Opinions Regarding the Uncovertebral Jointsmentioning

confidence: 99%

Analysis of the uncinate processes of the cervical spine: an anatomical study

Tubbs

Rompala

Verma

et al. 2012

SPI

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Object Although the uncovertebral region is neurosurgically relevant, relatively little is reported in the literature, specifically the neurosurgical literature, regarding its anatomy. Therefore, the present study aimed at further elucidation of this region's morphological features. Methods Morphometry was performed on the uncinate processes of 40 adult human skeletons. Additionally, range of motion testing was performed, with special attention given to the uncinate processes. Finally, these excrescences were classified based on their encroachment on the adjacent intervertebral foramen. Results The height of these processes was on average 4.8 mm, and there was an inverse relationship between height of the uncinate process and the size of the intervertebral foramen. Degeneration of the vertebral body (VB) did not correlate with whether the uncinate process effaced the intervertebral foramen. The taller uncinate processes tended to be located below C-3 vertebral levels, and their average anteroposterior length was 8 mm. The average thickness was found to be 4.9 mm for the base and 1.8 mm for the apex. There were no significant differences found between vertebral level and thickness of the uncinate process. Arthritic changes of the cervical VBs did not necessarily deform the uncinate processes. With axial rotation, the intervertebral discs were noted to be driven into the ipsilateral uncinate process. With lateral flexion, the ipsilateral uncinate processes aided the ipsilateral facet joints in maintaining the integrity of the ipsilateral intervertebral foramen. Conclusions A good appreciation for the anatomy of the uncinate processes is important to the neurosurgeon who operates on the spine. It is hoped that the data presented herein will decrease complications during surgical approaches to the cervical spine.

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Section: Differing Opinions Regarding the Uncovertebral Jointsmentioning

confidence: 99%

Analysis of the uncinate processes of the cervical spine: an anatomical study

Tubbs

Rompala

Verma

et al. 2012

SPI

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“…Thus, Luschka described the lateral openings for the first time, a centerpiece of his research and later named after him, and ratified the existence of the median aperture named after Magendie. 8 , 9 …”

Section: Luschkamentioning

confidence: 99%

Magendie and Luschka: Holes in the 4th ventricle

Engelhardt

2016

Dement. neuropsychol.

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Cerebrospinal fluid (CSF) is a complex liquid formed mainly by the choroid plexuses. After filling the ventricular system where it circulates, CSF flows out to the subarachnoid spaces through openings in the 4th ventricle. Following numerous studies on CSF pathways, these openings were first discovered in the 19th century by two notable researchers, François Magendie and Hubert von Luschka, who described the median and lateral openings subsequently named after them. Even after the studies of Axel Key and Gustav Magnus Retzius confirming these openings, their existence was questioned by many anatomists, yet acknowledged by others. Finally gaining the acceptance of all, recognition of the holes endures to the present day. Interest in these openings may be attributed to the several congenital or acquired pathological conditions that may affect them, usually associated with hydrocephalus. We report some historical aspects of these apertures and their discoverers.

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“…The fourth ventricle was originally studied by Galen[ 1 ] and Da Vinci and was described as part of the ventricular system by Vesalius, but it remained a poorly understood structure until the nineteenth century. Magendie[ 15 ] named the central foramen and Luschka[ 16 ] the lateral foramina. A surgical approach to it was not possible until the early twentieth century when it was developed by Cushing and Dandy.…”

Section: Introductionmentioning

confidence: 99%

Fourth ventricle neurocysticercosis: Rigid endoscopic management. Description of direct transcerebellar approach

Ceja-Espinosa¹,

Franco-Jiménez²,

Sosa-Nájera³

et al. 2017

Surg Neurol Int

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Background:Endoscopy has gained a crucial role in high specialty neurosurgery during the last decades. At present, there are well-defined flexible neuroendoscopic procedures to treat ventricular and subarachnoid space pathologies. Neurocysticercosis is recognized as a common cause of neurologic disease in developing countries and the United States. Surgical intervention, especially cerebrospinal fluid diversion, is the key for management of hydrocephalus. In 2002, a consensus suggested that ventricular forms should be treated with endoscopy as the first option.Case Description:Here, we present the case of a 51-year-old right-handed male, from Estado de México. Two days before admission he experienced holocraneal headache 7/10 on the visual analogue scale which was intermittent, with no response to any medication, sudden worsening of pain to 10/10, nausea, and vomit. On physical examination, he presented with 14 points in the Glasgow coma scale (M6, O4, V4), pupils were 3 mm, there was adequate light-reflex response, and bilateral papilledema. The cranial nerves did not have other pathological responses, extremities had adequate strength of 5/5, and normal reflexes (++/++) were noted. Neuroimaging studies showed dilatation of the four ventricles as well as a cystic lesion in the fourth ventricle. Surgical position was Concorde, and the approach through a suboccipital burr hole was planned preoperatively with craneometric points. A rigid Karl Storz Hopkins II® endoscope was inserted directly through the cerebellum and the cystic lesion was extracted entirely.Conclusion:This article presents a useful technique with low morbidity and mortality. Further investigation is needed, especially in our Mexico, where neuroendoscopical techniques are still in the development phase.

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Hubert von Luschka (1820–1875): his life, discoveries, and contributions to our understanding of the nervous system

Cited by 22 publications

References 3 publications

Analysis of the uncinate processes of the cervical spine: an anatomical study

Analysis of the uncinate processes of the cervical spine: an anatomical study

Magendie and Luschka: Holes in the 4th ventricle

Fourth ventricle neurocysticercosis: Rigid endoscopic management. Description of direct transcerebellar approach

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