Charles-Édouard Brown-Séquard
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Charles-Édouard Brown-Séquard FRS (8 April 1817 – 2 April 1894) was a Mauritian
physiologist Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemica ...
and
neurologist Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal c ...
who, in 1850, became the first to describe what is now called
Brown-Séquard syndrome Brown-Séquard syndrome (also known as Brown-Séquard's hemiplegia, Brown-Séquard's paralysis, hemiparaplegic syndrome, hemiplegia et hemiparaplegia spinalis, or spinal hemiparaplegia) is caused by damage to one half of the spinal cord, i.e. hem ...
.


Early life

Brown-Séquard was born at
Port Louis Port Louis (french: Port-Louis; mfe, label= Mauritian Creole, Polwi or , ) is the capital city of Mauritius. It is mainly located in the Port Louis District, with a small western part in the Black River District. Port Louis is the country's ...
,
Mauritius Mauritius ( ; french: Maurice, link=no ; mfe, label= Mauritian Creole, Moris ), officially the Republic of Mauritius, is an island nation in the Indian Ocean about off the southeast coast of the African continent, east of Madagascar. It ...
, to an American father and a French mother. He attended the
Royal College A royal college in some Commonwealth countries is technically a college which has received royal patronage and permission to use the prefix ''royal''. Permission is usually granted through a royal charter. The charter normally confers a constitut ...
in Mauritius, and graduated in medicine at Paris in 1846. He then returned to Mauritius with the intention of practising there, but in 1852 he went to the United States. There he was appointed to the faculty of the Medical College of Virginia where he conducted experiments in the basement of the Egyptian Building. He was elected as a member of the
American Philosophical Society The American Philosophical Society (APS), founded in 1743 in Philadelphia, is a scholarly organization that promotes knowledge in the sciences and humanities through research, professional meetings, publications, library resources, and communit ...
in 1854.


Later life

He returned to Paris, and in 1859 he migrated to London, becoming physician to the
National Hospital for the Paralysed and Epileptic The National Hospital for Neurology and Neurosurgery (informally the National Hospital or Queen Square) is a neurological hospital in Queen Square, London. It is part of the University College London Hospitals NHS Foundation Trust. It was the ...
. There he stayed for about five years, expounding his views on the
pathology Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in ...
of the
nervous system In biology, the nervous system is the highly complex part of an animal that coordinates its actions and sensory information by transmitting signals to and from different parts of its body. The nervous system detects environmental changes ...
in numerous lectures which attracted considerable attention. In 1864 he again crossed the Atlantic, and was appointed professor of physiology and neuropathology at
Harvard Harvard University is a private Ivy League research university in Cambridge, Massachusetts. Founded in 1636 as Harvard College and named for its first benefactor, the Puritan clergyman John Harvard, it is the oldest institution of higher le ...
. He relinquished this position in 1867, and in 1869 became professor at the École de Médecine in Paris, but in 1873 he again returned to America and began to practice in New York City. While in New York, his daughter, Charlotte Maria was born. Finally, he went back to Paris to succeed Claude Bernard in 1878 as professor of
experimental medicine An experimental drug is a medicinal product (a drug or vaccine) that has not yet received approval from governmental regulatory authorities for routine use in human or veterinary medicine. A medicinal product may be approved for use in one diseas ...
in the
Collège de France The Collège de France (), formerly known as the ''Collège Royal'' or as the ''Collège impérial'' founded in 1530 by François I, is a higher education and research establishment ('' grand établissement'') in France. It is located in Paris n ...
, and he remained there until his death, which occurred in 1894 at Sceaux, France. He was buried in Paris at the
Cimetière du Montparnasse Montparnasse Cemetery (french: link=no, Cimetière du Montparnasse) is a cemetery in the Montparnasse quarter of Paris, in the city's 14th arrondissement. The cemetery is roughly 47 acres and is the second largest cemetery in Paris. The cemetery ...
. Brown-Séquard was quite a controversial and eccentric figure, and is also known for self-reporting, at age 72, "rejuvenated sexual prowess after subcutaneous injection of extracts of monkey testis". Thousands of men tried the therapy. The endocrinologist Robert B. Greenblatt wrote that this therapy could not have possibly worked because, unlike the thyroid gland, the testes do not store the hormones they produce and, therefore, obtaining a therapeutic dose of testosterone directly from animal glands "would require about one-quarter ton of bull's testes." The positive response by many men is now thought to have been a
placebo effect A placebo ( ) is a substance or treatment which is designed to have no therapeutic value. Common placebos include inert tablets (like sugar pills), inert injections (like Saline (medicine), saline), sham surgery, and other procedures. In general ...
, but apparently this was "sufficient to set the field of
endocrinology Endocrinology (from '' endocrine'' + '' -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the integration of developmental event ...
off and running." In 1886 Brown-Séquard was elected to the Board of the Sugar Club. He also was a member of the
Royal Society of London The Royal Society, formally The Royal Society of London for Improving Natural Knowledge, is a learned society and the United Kingdom's national academy of sciences. The society fulfils a number of roles: promoting science and its benefits, r ...
.


Works

Brown-Séquard was a keen observer and experimentalist. He contributed largely to our knowledge of the blood and animal heat, as well as many facts of the highest importance on the
nervous system In biology, the nervous system is the highly complex part of an animal that coordinates its actions and sensory information by transmitting signals to and from different parts of its body. The nervous system detects environmental changes ...
. He was the first scientist to work out the physiology of the
spinal cord The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the sp ...
, demonstrating that the decussation of the fibres carrying pain and temperature sensation occurs in the cord itself. His name was immortalised in the
history of medicine The history of medicine is both a study of medicine throughout history as well as a multidisciplinary field of study that seeks to explore and understand medical practices, both past and present, throughout human societies. More than just histo ...
with the description of a syndrome which bears his name (Brown-Séquard syndrome) due to the hemisection of the spinal cord, which he described after observing accidental injury of the spinal cord in farmers cutting sugar cane in Mauritius. Far more important is that he was one of the first to postulate the existence of substances, now known as
hormones A hormone (from the Greek participle , "setting in motion") is a class of signaling molecules in multicellular organisms that are sent to distant organs by complex biological processes to regulate physiology and behavior. Hormones are required ...
, secreted into the bloodstream to affect distant organs. In particular, he demonstrated (in 1856) that removal of the
adrenal glands The adrenal glands (also known as suprarenal glands) are endocrine glands that produce a variety of hormones including adrenaline and the steroids aldosterone and cortisol. They are found above the kidneys. Each gland has an outer cortex which ...
resulted in death, due to lack of essential hormones. At age 72, at a meeting of the ''Societé de Biologie'' in Paris, Brown-Séquard reported that
hypodermic injection A hypodermic needle (from Greek Language, Greek ὑπο- (''hypo-'' = under), and δέρμα (''derma'' = skin)), one of a category of medical tools which enter the skin, called sharps, is a very thin, hollow tube with one sharp tip. It is ...
of a fluid prepared from the
testicles A testicle or testis (plural testes) is the male reproductive gland or gonad in all bilaterians, including humans. It is homologous to the female ovary. The functions of the testes are to produce both sperm and androgens, primarily testosteron ...
of
guinea pig The guinea pig or domestic guinea pig (''Cavia porcellus''), also known as the cavy or domestic cavy (), is a species of rodent belonging to the genus '' Cavia'' in the family Caviidae. Breeders tend to use the word ''cavy'' to describe the ...
s and dogs leads to rejuvenation and prolonged human life. It was known, among scientists, derisively, as the ''Brown-Séquard Elixir''. A Vienna medical publication quipped dismissively: "The lecture must be seen as further proof of the necessity of retiring professors who have attained their threescore and ten years." Brown-Séquard's research, published in about 500 essays and papers, especially in the '' Archives de Physiologie'', which he helped to found in 1868 along with
Jean-Martin Charcot Jean-Martin Charcot (; 29 November 1825 – 16 August 1893) was a French neurologist and professor of anatomical pathology. He worked on hypnosis and hysteria, in particular with his hysteria patient Louise Augustine Gleizes. Charcot is know ...
and Alfred Vulpian, cover a very wide range of physiological and pathological subjects. In the late 19th century Brown-Séquard gave rise to much controversy in the case of supposed modification-inheritance by his experiments on guinea pigs. In a series of experiments extending over many years (1869 to 1891), he showed that a partial section of the spinal cord, or a section of the
sciatic nerve The sciatic nerve, also called the ischiadic nerve, is a large nerve in humans and other vertebrate animals which is the largest branch of the sacral plexus and runs alongside the hip joint and down the lower limb. It is the longest and widest ...
, was followed after a few weeks by a peculiar morbid state resembling
epilepsy Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. Epileptic seizures can vary from brief and nearly undetectable periods to long periods of vigorous shaking due to abnormal electrica ...
. The offspring of the animals operated on were frequently decrepit, and a certain number showed a tendency to the so-called epilepsy. Although some scientists considered the experiments as evidence for
Lamarckian inheritance Lamarckism, also known as Lamarckian inheritance or neo-Lamarckism, is the notion that an organism can pass on to its offspring physical characteristics that the parent organism acquired through use or disuse during its lifetime. It is also calle ...
, the experiments were not Lamarckian as Lamarck had rejected that this sort of acquired characteristic was inherited as such experiments did not involve the use and disuse of characters in response to the environment. One explanation for the results was that they show a transmitted disease and not evidence for the inheritance of an acquired character. His experiments are now considered anomalous and alternative explanations have been suggested.


See also

*
Brown-Séquard syndrome Brown-Séquard syndrome (also known as Brown-Séquard's hemiplegia, Brown-Séquard's paralysis, hemiparaplegic syndrome, hemiplegia et hemiparaplegia spinalis, or spinal hemiparaplegia) is caused by damage to one half of the spinal cord, i.e. hem ...
*
Hormone therapy Hormone therapy or hormonal therapy is the use of hormones in medical treatment. Treatment with hormone antagonists may also be referred to as hormonal therapy or antihormone therapy. The most general classes of hormone therapy are oncologic ho ...


References


Further reading

* * * * * Dawka, Sushil. (2017)
Charles-Édouard Brown-Séquard: A bicentennial tribute
. ''Int J Med Update''. 12 (1): 1–3. https://dx.doi.org/10.4314/ijmu.v12i1.1 * * * * *


External links

*

- Biographical information and selected publications


Documents relating to Brown-Séquard
in the Queen Square Archive
National Academy of Sciences Biographical Memoir
{{DEFAULTSORT:Brown-Sequard, Charles-Edouard British neuroscientists British neurologists French neurologists French physiologists Collège de France faculty Harvard University faculty History of neuroscience Lamarckism Members of the French Academy of Sciences 1817 births 1894 deaths Virginia Commonwealth University Fellows of the Royal Society Burials at Montparnasse Cemetery