Royle's sympathectomy for spastic paralysis: Sorry saga or scientific awakening?

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Title: Royle's sympathectomy for spastic paralysis: Sorry saga or scientific awakening?
Authors: Storey, Catherine E. (AUTHOR)
Source: Journal of the History of the Neurosciences. Oct-Dec2023, Vol. 32 Issue 4, p456-469. 14p. 1 Color Photograph, 1 Black and White Photograph.
Subjects: Spastic paralysis, University of Sydney, Waldorf-Astoria Hotel (New York, N.Y.), Sympathectomy, Sympathetic nervous system, Peripheral vascular diseases, Orthopedists
Geographic Terms: New York (N.Y.)
Abstract: On October 20, 1924, at the Waldorf-Astoria Hotel in New York City, two medical graduates of the University of Sydney delivered the John B. Murphy Oration to the American College of Surgeons on the topic of sympathetic ramisection for the treatment of spastic paralysis. The surgery was regarded as a triumph. The triumph, however, was short-lived, when one of the speakers, John Irvine Hunter, a promising anatomist, died prematurely. Norman Royle, an orthopedic surgeon, continued the research program and continued to perform these operations. Within a few short years, however, the theory of the dual nerve supply of skeletal muscle, which underpinned the procedure, and the results of surgery for spastic paralysis came under question. Nevertheless, Royle's sympathectomy found another indication and became the treatment of choice for peripheral vascular disease for several decades thereafter. Although Hunter and Royle's original work was discredited, their research turned their sorry saga into a scientific awakening of the sympathetic nervous system. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the History of the Neurosciences is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Royle's sympathectomy for spastic paralysis: Sorry saga or scientific awakening?
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  Data: <searchLink fieldCode="AR" term="%22Storey%2C+Catherine+E%2E%22">Storey, Catherine E.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+History+of+the+Neurosciences%22">Journal of the History of the Neurosciences</searchLink>. Oct-Dec2023, Vol. 32 Issue 4, p456-469. 14p. 1 Color Photograph, 1 Black and White Photograph.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Spastic+paralysis%22">Spastic paralysis</searchLink><br /><searchLink fieldCode="DE" term="%22University+of+Sydney%22">University of Sydney</searchLink><br /><searchLink fieldCode="DE" term="%22Waldorf-Astoria+Hotel+%28New+York%2C+N%2EY%2E%29%22">Waldorf-Astoria Hotel (New York, N.Y.)</searchLink><br /><searchLink fieldCode="DE" term="%22Sympathectomy%22">Sympathectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Sympathetic+nervous+system%22">Sympathetic nervous system</searchLink><br /><searchLink fieldCode="DE" term="%22Peripheral+vascular+diseases%22">Peripheral vascular diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Orthopedists%22">Orthopedists</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22New+York+%28N%2EY%2E%29%22">New York (N.Y.)</searchLink>
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  Label: Abstract
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  Data: On October 20, 1924, at the Waldorf-Astoria Hotel in New York City, two medical graduates of the University of Sydney delivered the John B. Murphy Oration to the American College of Surgeons on the topic of sympathetic ramisection for the treatment of spastic paralysis. The surgery was regarded as a triumph. The triumph, however, was short-lived, when one of the speakers, John Irvine Hunter, a promising anatomist, died prematurely. Norman Royle, an orthopedic surgeon, continued the research program and continued to perform these operations. Within a few short years, however, the theory of the dual nerve supply of skeletal muscle, which underpinned the procedure, and the results of surgery for spastic paralysis came under question. Nevertheless, Royle's sympathectomy found another indication and became the treatment of choice for peripheral vascular disease for several decades thereafter. Although Hunter and Royle's original work was discredited, their research turned their sorry saga into a scientific awakening of the sympathetic nervous system. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of the History of the Neurosciences is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/0964704X.2023.2204336
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      – Code: eng
        Text: English
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        PageCount: 14
        StartPage: 456
    Subjects:
      – SubjectFull: Spastic paralysis
        Type: general
      – SubjectFull: University of Sydney
        Type: general
      – SubjectFull: Waldorf-Astoria Hotel (New York, N.Y.)
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      – SubjectFull: Sympathectomy
        Type: general
      – SubjectFull: Sympathetic nervous system
        Type: general
      – SubjectFull: Peripheral vascular diseases
        Type: general
      – SubjectFull: Orthopedists
        Type: general
      – SubjectFull: New York (N.Y.)
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      – TitleFull: Royle's sympathectomy for spastic paralysis: Sorry saga or scientific awakening?
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            NameFull: Storey, Catherine E.
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            – D: 01
              M: 10
              Text: Oct-Dec2023
              Type: published
              Y: 2023
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