Jean-Martin Charcot
was born in Paris, France late in 1825. Even though he was a nineteenth
century scientist, his influences carried on into the next century,
especially the work of some of his well-known students. He was the
professor at the University of Paris for 33 years and in 1862 he started
an association with Paris’s Salpetriere Hospital that lasted all
throughout his life. He ultimately became
the director of the hospital. Charcot was known for being an excellent
teacher of medicine and he attracted students from all over Europe. His
focus turned to the study of neurology and he is known by some as the
founder of modern neurology. In 1882, he established a neurological
clinic at the hospital that was a first in Europe.
Charcot’s work
covered many other aspects of neurology aside from the diagnosis of
multiple sclerosis. He was the first to describe the degeneration of
ligaments and joint surfaces due to the lack of use or control, now
known has Charcot’s joint. He also did research to determine the parts
of the brain that were responsible for specific nerve functions, and
discovered the importance of small arteries in a cerebral hemorrhage.
Like many other diseases, multiple sclerosis existed long before it had
a name. Writings from as far back as the Middle Ages described patients
with symptoms that doctors today believe pointed to MS. A Dutch saint
named Lidwina, who died in 1433, may have been one of the first known MS
patients. After she fell while ice skating, she developed symptoms such
as excruciating pain, blinding headaches, problems walking and
paralysis. Her condition got worse over the course of her life, but she
did have remissions. Another well-known potential MS patient was a
grandson of King George III, who described his symptoms in a diary that
he kept until his death in 1848.
Twenty years later, Dr. Jean-Martin
Charcot became the first person credited with identifying multiple
sclerosis as a disease. A female patient of his suffered an unusual
combination of symptoms. He tried some of the typical treatments for
other neurological disorders, such as electrical stimulation and
injections of silver (which helped alleviate the symptoms of syphilis),
but none of them worked. After his patient died, he dissected her brain
and discovered the brain lesions. He called the disease sclerose en
plaques. Myelin was discovered shortly afterwards, although its exact
significance was unknown.
In 1868, Charcot examined a young woman
who had a tremor he had never seen in the past. He noted that she had
other neurological issues such as slurred speech and abnormal eye
movements. Charcot compared her symptoms with those of his other
patients. After the woman died, he examined her brain and found the
characteristic scars, also known as plaques, of MS.
Dr. Charcot
wrote a complete description of the disease and the changes in the brain
that come along with it. But he was confused by what caused MS and was
frustrated at the fact that it was resistant to all of the treatments he
had tried. Some of the treatment methods that were used included
electrical stimulation, and the use of the poison strychnine, because it
was also a nerve stimulant. He had also used injections of gold and
silver, which had been helpful with another common nerve disorder,
syphilis, at the time.
Without a doubt, Charcot was one of the most
important doctors in history. His findings in relation to MS and his
understanding of the disease has helped the doctors and scientists of
today learn more about the disease. This 19th century French neurologist
worked at the Salpetriere Hospital in Paris and was first to make the
link between the hitherto mysterious symptomatology, now known as
multiple sclerosis. He was also the first to find the pathological
changes in post-mortem samples. Nearly forty years after the discovery
of the lesions caused by MS, the clinical condition was described by
Charcot as a distinct disease.
Dr. Charcot died in 1893 in Morvan, France.
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