Norman Geschwind
Encyclopedia
Norman Geschwind pioneered behavioral neurology
Behavioral neurology
Behavioral neurology is a subspecialty of neurology that studies the neurological basis of behavior, memory, and cognition, the impact of neurological damage and disease upon these functions, and the treatment thereof. Two fields associated with behavioral neurology are neuropsychiatry and...

 in America. He is best known for his exploration of behavioral neurology through disconnection models based on lesion analysis.

Early life

Norman Geschwind was born on January 8, 1926 in New York City
New York City
New York is the most populous city in the United States and the center of the New York Metropolitan Area, one of the most populous metropolitan areas in the world. New York exerts a significant impact upon global commerce, finance, media, art, fashion, research, technology, education, and...

, New York. He was a student at Boy's High School in Brooklyn, New York. He matriculated into Harvard University
Harvard University
Harvard University is a private Ivy League university located in Cambridge, Massachusetts, United States, established in 1636 by the Massachusetts legislature. Harvard is the oldest institution of higher learning in the United States and the first corporation chartered in the country...

 in 1942, initially planning to study mathematics. His education was interrupted when drafted into the Army in 1944. After serving for two years, he returned to Harvard University in 1946. Geschwind changed to the Department of Social Relations and studied a combination of social/personality psychology and cultural anthropology. Geschwind later married and had three children, Naomi, David, and Claudia.

Medical Education and Training

Geschwind attended Harvard Medical School
Harvard Medical School
Harvard Medical School is the graduate medical school of Harvard University. It is located in the Longwood Medical Area of the Mission Hill neighborhood of Boston, Massachusetts....

, intending to become a psychiatrist
Psychiatrist
A psychiatrist is a physician who specializes in the diagnosis and treatment of mental disorders. All psychiatrists are trained in diagnostic evaluation and in psychotherapy...

. His emphasis began to shift after studying neuroanatomy with Dr. Marcus Singer, at which time he began to develop an interest in aphasia
Aphasia
Aphasia is an impairment of language ability. This class of language disorder ranges from having difficulty remembering words to being completely unable to speak, read, or write....

 and epilepsy
Epilepsy
Epilepsy is a common chronic neurological disorder characterized by seizures. These seizures are transient signs and/or symptoms of abnormal, excessive or hypersynchronous neuronal activity in the brain.About 50 million people worldwide have epilepsy, and nearly two out of every three new cases...

. He graduated medical school in 1951. Dr. Geschwind continued his studies at London’s National Hospital as a Moseley Travelling Fellow from 1952 to 1953, then as a United States Public Health Service
United States Public Health Service
The Public Health Service Act of 1944 structured the United States Public Health Service as the primary division of the Department of Health, Education and Welfare , which later became the United States Department of Health and Human Services. The PHS comprises all Agency Divisions of Health and...

 fellow from 1953 to 1955. He studied with Sir Charles Symonds
Charles Symonds
Sir Charles Putnam Symonds KBE CB was an English neurologist.His initial medical training was at Guy's Hospital, followed by specialised training at the National Hospital for Neurology and Neurosurgery...

 who taught the importance of neurologic mechanisms to studying disorders.

In 1955, Dr. Geschwind became neurology chief resident at the famous Boston City Hospital
Boston City Hospital
The Boston City Hospital in Boston, Massachusetts, was "intended for the use and comfort of poor patients, to whom medical care will be provided at the expense of the city, and .....

 and served under Dr. Derek Denny-Brown. From 1956 to 1958 he was a research fellow studying muscle disease at the MIT
Massachusetts Institute of Technology
The Massachusetts Institute of Technology is a private research university located in Cambridge, Massachusetts. MIT has five schools and one college, containing a total of 32 academic departments, with a strong emphasis on scientific and technological education and research.Founded in 1861 in...

 Department of Biology.

Norman Geschwind joined the Neurology Department of the Boston Veterans Administration Hospital in 1958, where he met Dr. Fred Quadfasel, chief of neurology for the department. At this time, his clinical interest in aphasia developed into his life-long study of the neurological basis of language and higher cognitive functions. Dr. Quadfasel encouraged Geschwind to study classic texts of neurology from the 19th and early 20th century, exposing him to classic localizationist theory.

Career

Dr. Geschwind became Chief of Neurology at the Boston VA Hospital
VA Boston Healthcare System
The VA Boston Healthcare System is a set of hospitals run by the United States Department of Veterans Affairs in the Greater Boston area. It comprises nine campuses, with three major medical centers in Jamaica Plain, West Roxbury, and Brockton....

 in 1962, and an Associate Professor in Neurology at Boston University
Boston University
Boston University is a private research university located in Boston, Massachusetts. With more than 4,000 faculty members and more than 31,000 students, Boston University is one of the largest private universities in the United States and one of Boston's largest employers...

. Geschwind with Edith Kaplan
Edith Kaplan
Edith F. Kaplan was an American psychologist. She was a pioneer of neuropsychological tests and did most of her work at the Boston VA Hospital....

 established in the early 1960s at the Boston VA the Boston University Aphasia Research Center. The Aphasia Research Center would go on to become a pioneer in interdisciplinary aphasia research, including luminaries like Harold Goodglass. Geschwind ended his tenure as chief of neurology at the VA in 1966 and became Chair of the Department of Neurology at Boston University for 1966-68.

In 1969, Norman Geschwind was chosen as Harvard Medical School’s James Jackson Putnam Professor of Neurology, a position previously held his old mentor, Derek Denny-Brown. At Harvard he continued to research aphasia and epilepsy, as well as dyslexias, the neuroanatomy of cerebral lateral asymmetries, and other areas of neurological dysfunction. Norman Geschwind was noted for his inspirational teaching of medical students, residents, and fellows. He also supported an interdisciplinary approach to research. He significantly shaped the neurological climate in the US and Europe during his life, an influence which lives on in his students.

Dr. Geschwind is credited with coining the term behavioral neurology
Behavioral neurology
Behavioral neurology is a subspecialty of neurology that studies the neurological basis of behavior, memory, and cognition, the impact of neurological damage and disease upon these functions, and the treatment thereof. Two fields associated with behavioral neurology are neuropsychiatry and...

 in the 1970s to describe the corpus of course material in the area of higher cortical functions starting to be presented at American Academy of Neurology
American Academy of Neurology
The American Academy of Neurology is a professional society for neurologists and neuroscientists. As a medical specialty society it was established in 1949 by A.B. Baker of the University of Minnesota to advance the art and science of neurology, and thereby promote the best possible care for...

 meetings.

In later years, Geschwind worked with a number of neurologists to whose future research careers in behavioral neurology he gave significant direction; among these were Kenneth Heilman
Kenneth Heilman
Kenneth M. Heilman is an American behavioral neurologist.-Early life and career:Heilman was born and raised in Brooklyn, New York.He attended the University of Virginia and graduated from the University of Virginia School of Medicine in 1963....

, Elliott Ross, and David N. Caplan. These people, as well as those who worked with Geschwind in his other areas of interest – epilepsy, neuroanatomy
Neuroanatomy
Neuroanatomy is the study of the anatomy and organization of the nervous system. In contrast to animals with radial symmetry, whose nervous system consists of a distributed network of cells, animals with bilateral symmetry have segregated, defined nervous systems, and thus we can begin to speak of...

, and developmental dyslexia, primarily – have carried on in the tradition he invigorated, enriching and arguing with his basic approach to the study of behavior in a neurological context. Beyond his inspired teaching of medical students and training of residents and fellows, he actively encouraged and supported interdisciplinary research.

Geschwind would remain at Harvard Medical School until his premature death on November 4, 1984, aged 58.

Legacy

Dr. Norman Geschwind left behind a rich legacy in the form of his body of work, approach to behavioral/cognitive disorders, and trainees. Within neurology, several of these neurologists went on to train other neurologists in behavioral neurology including D. Frank Benson, Antonio Damasio
Antonio Damasio
Antonio Damasio is David Dornsife Professor of Neuroscience at the University of Southern California, where he heads USC's Brain and Creativity Institute and Adjunct Professor at the Salk Institute. Prior to taking up his posts at USC, in 2005, Damasio was M.W...

, Marsel Mesulam, Kenneth Heilman
Kenneth Heilman
Kenneth M. Heilman is an American behavioral neurologist.-Early life and career:Heilman was born and raised in Brooklyn, New York.He attended the University of Virginia and graduated from the University of Virginia School of Medicine in 1963....

, and Elliott Ross.

The Norman Geschwind Award in Behavioral Neurology is presented through the American Academy of Neurology and the Society for Behavioral and Cognitive Neurology yearly in honor of Dr. Geschwind. The Norman Geschwind-Rodin Prize is a Swedish award for research in dyslexia
Dyslexia
Dyslexia is a very broad term defining a learning disability that impairs a person's fluency or comprehension accuracy in being able to read, and which can manifest itself as a difficulty with phonological awareness, phonological decoding, orthographic coding, auditory short-term memory, or rapid...

.

Neurological eponyms include Geschwind syndrome
Geschwind syndrome
Geschwind syndrome, also known as "Gastaut-Geschwind" is a characteristic personality syndrome consisting of symptoms such as circumstantiality, hypergraphia, altered sexuality , and intensified mental life , hyper-religiosity and/or hyper-morality or moral ideas that is present in some...

 and the Geschwind–Galaburda hypothesis.

His former trainees and colleagues collaborated on a book in memoriam of Norman Geschwind.
The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
x
OK