Paul Hoffmann (neurophysiologist)
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Paul Hoffmann (July 1, 1884 – March 9, 1962) was a German neurophysiologist, chiefly known for describing
Hoffmann's sign Hoffmann's reflex (Hoffmann's sign, sometimes simply "''Hoffmann's''", also finger flexor reflex) is a neurological examination finding elicited by a reflex test which can help verify the presence or absence of issues arising from the corticospinal ...
.


Medical career

Hoffmann was born in
Dorpat Tartu is the second largest city in Estonia after the Northern Europe, Northern Europe, European country's political and financial capital, Tallinn. Tartu has a population of 91,407 (as of 2021). It is southeast of Tallinn and 245 kilometres ...
,
Governorate of Estonia The Governorate of Estonia, also known as the Governorate of Esthonia (Pre-reformed rus, Эстля́ндская губе́рнія, r=Estlyandskaya guberniya); et, Eestimaa kubermang was a governorate in the Baltic region, along with th ...
, where his father was professor in Internal Medicine. He went on to study medicine in Universities of
Leipzig Leipzig ( , ; Upper Saxon: ) is the most populous city in the German state of Saxony. Leipzig's population of 605,407 inhabitants (1.1 million in the larger urban zone) as of 2021 places the city as Germany's eighth most populous, as wel ...
,
Marburg Marburg ( or ) is a university town in the German federal state (''Bundesland'') of Hesse, capital of the Marburg-Biedenkopf district (''Landkreis''). The town area spreads along the valley of the river Lahn and has a population of approximate ...
and
Berlin Berlin ( , ) is the capital and largest city of Germany by both area and population. Its 3.7 million inhabitants make it the European Union's most populous city, according to population within city limits. One of Germany's sixteen constitue ...
from where he received his medical degree in 1909. In 1911, he was appointed as an assistant to
Max von Frey Maximilian (Max) Ruppert Franz von Frey (16 November 1852 – 25 January 1932) was an Austrian-German physiologist who was born in Salzburg. He received his doctorate from the University of Leipzig in 1877, and subsequently worked at Carl Ludwig's ...
at
Würzburg University Würzburg (; Main-Franconian: ) is a city in the region of Franconia in the north of the German state of Bavaria. Würzburg is the administrative seat of the ''Regierungsbezirk'' Lower Franconia. It spans the banks of the Main River. Würzburg is ...
. He published thirty-two articles prior to the beginning of
World War I World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, the United States, and the Ottoman Empire, with fightin ...
, and during the war, he worked for several German field hospitals in France and the
military hospital A military hospital is a hospital owned and operated by a military. They are often reserved for the use of military personnel and their dependents, but in some countries are made available to civilians as well. They may or may not be located on a ...
at
Würzburg Würzburg (; Main-Franconian: ) is a city in the region of Franconia in the north of the German state of Bavaria. Würzburg is the administrative seat of the ''Regierungsbezirk'' Lower Franconia. It spans the banks of the Main River. Würzburg is ...
. His early worked mainly focused on nerve
action potentials An action potential occurs when the membrane potential of a specific cell location rapidly rises and falls. This depolarization then causes adjacent locations to similarly depolarize. Action potentials occur in several types of animal cells, c ...
and
electrophysiology Electrophysiology (from Greek , ''ēlektron'', "amber" etymology of "electron"">Electron#Etymology">etymology of "electron" , ''physis'', "nature, origin"; and , '' -logia'') is the branch of physiology that studies the electrical properties of b ...
of nerves. He was a prolific writer and researcher, and has been hailed by some as father of modern German
neurophysiology Neurophysiology is a branch of physiology and neuroscience that studies nervous system function rather than nervous system architecture. This area aids in the diagnosis and monitoring of neurological diseases. Historically, it has been dominated b ...
. In 1917, he was appointed as
associate professor Associate professor is an academic title with two principal meanings: in the North American system and that of the ''Commonwealth system''. Overview In the ''North American system'', used in the United States and many other countries, it is a ...
at
University of Berlin Humboldt-Universität zu Berlin (german: Humboldt-Universität zu Berlin, abbreviated HU Berlin) is a German public research university in the central borough of Mitte in Berlin. It was established by Frederick William III on the initiative o ...
and in 1924 he was made director of the Institute of Physiology at
University of Freiburg-im-Breisgau The University of Freiburg (colloquially german: Uni Freiburg), officially the Albert Ludwig University of Freiburg (german: Albert-Ludwigs-Universität Freiburg), is a public research university located in Freiburg im Breisgau, Baden-Württemb ...
. The university was completely destroyed in an aerial raid in 1944, but Hoffmann later continued his work in a new building, until he retired in 1954. He received honorary degrees form the
Humboldt University of Berlin Humboldt-Universität zu Berlin (german: Humboldt-Universität zu Berlin, abbreviated HU Berlin) is a German public research university in the central borough of Mitte in Berlin. It was established by Frederick William III on the initiative o ...
and the
University of Zurich The University of Zürich (UZH, german: Universität Zürich) is a public research university located in the city of Zürich, Switzerland. It is the largest university in Switzerland, with its 28,000 enrolled students. It was founded in 1833 f ...
.


Hoffmann's sign

It was in March and August 1915 just few months before
Jules Tinel Jules Tinel (1879 in Rouen – 1952) was a French neurologist remembered for describing Tinel's sign. Biography Jules Tinel was born in 1879 into a family with a five generation history of medical professionals. He studied in Rouen before movin ...
when Hoffmann published two articles in journal ''Medizinische Klinic'' describing a method of evaluating success of nerve sutures and nerve regeneration. The sign termed as (H- sign)
Hoffmann's sign Hoffmann's reflex (Hoffmann's sign, sometimes simply "''Hoffmann's''", also finger flexor reflex) is a neurological examination finding elicited by a reflex test which can help verify the presence or absence of issues arising from the corticospinal ...
was elicited by tapping distal to the site of injured nerve which produced tingling sensation, the sensation was neither permanent nor severe. In October 1915, Jules Tinel described the same phenomenon in French "le signe de fourmillement".Tinel, J. (1978) The "tingling sign" in peripheral nerve lesions (Translated by EB Kaplan). In: M. Spinner M (Ed.), Injuries to the Ma jor Branches of Peripheral Nerves of the Forearm. (2nd ed.) (pp 8-13). Philadelphia: WD Saunders Co Hoffman did not get enough credit in spite of being the first one to describe this sign because after the end of the war, Tinel's research gained more popularity and in all regions outside Germany where the sign is known as
Tinel's sign Tinel's sign (also Hoffmann-Tinel sign) is a way to detect irritated nerves. It is performed by lightly tapping ( percussing) over the nerve to elicit a sensation of tingling or " pins and needles" in the distribution of the nerve. Percussion is u ...
.


References

{{DEFAULTSORT:Hoffmann, Paul 1884 births 1962 deaths Leipzig University alumni University of Marburg alumni German neuroscientists German physiologists Neurophysiologists