The need to trace our roots in difficult times. The 1985 AANS presidential address.

Abstract

Several important events that have played a major role in shaping the destiny of neurological surgery are recounted: the birth of neurosurgery; the founding of scientific surgery; the origin and evolution of microvascular technique in cerebrovascular surgery. In each case, the clinical breakthroughs stemmed from an apparently irrelevant basic laboratory investigation. Also, in each case, the transfer of the laboratory results to the bedside required clinicians who were prepared by training and knowledge to recognize the clinical significance of the fundamental observations. History tells us that if we are to sustain neurological surgery as a vibrant surgical specialty, we must continue to give top priority to the preparation of young minds through education and research. It is more important to understand this now than ever before, because never before have we been so preoccupied with social and economic issues: a preoccupation that is threatening to divert our attention from the main determinants of our specialty's future viability--the acquisition and application of new knowledge.