The contributions of the Spanish anatomist Barcia-Goyanes to international anatomical terminology

Juan José Barcia-Goyanes (Santiago de Compostela, 1901 - Valencia, 2003) was a Full Professor of Anatomy (Catedrático de Anatomía) in 1927 at the University of Salamanca and later on, at the University of Valencia, until his retirement. Among his bibliographical data, besides his profound knowledge of Anatomy, he also excelled for his studies on Psychiatry and Neurology and, based on this expertise, he became a pioneer of Spanish Neurosurgery, which he initiated in 1931. In addition, he was Dean of the School of Medicine and Rector of the University of Valencia. In this article, we would like to emphasize his contributions to Anatomy, addressing some of his most important publications. He described for the first time the Incisive Superior Bone, and published crucial conclusions about the foundations of Anatomy and the concept of Form. Importantly, we highlight the Onomatologia anatomica nova, as an opus magnum on the language of Anatomy, which was possible due to his wide knowledge of languages. We also underline, among others, his original study on the greatest work of Vesalius

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Historia de la neurocirugía española. La escuela de Valencia: J.J. Barcia Goyanes / The History of Spanish Neurosurgery: The Valencian School: J.J. Barcia Goyanes

El Prof. Juan José Barcia-Goyanes inició la neurocirugía desde la anatomía y la neuropsiquiatría como respuesta a una necesidad de un servicio denominado: «Enfermedades nerviosas» en 1931 en el Hospital General de Valencia. Desde la primera intervención, con los métodos e instrumentos que ya se usaban en Europa y EE.UU., la actividad neuroquirúrgica fue el motor del servicio, donde nacieron las especialidades auxiliares: neurorradiología, neurofisiología, neuropatología y técnicas nuevas como la estereotaxia, la neurocirugía funcional y la palencefalografía. El servicio cumple este año su 80 aniversario. La producción bibliográfica del Prof. Barcia abarcó tanto las materias de neurología, neurocirugía y psiquiatría, como de antropología, pensamiento médico, historia de la medicina, morfología e historia del lenguaje anatómico en su obra de madurez: «Onomatologia anatomica nova», así como una interesante obra poética. Fue miembro fundador de la Sociedad Luso-española de Neurocirugía y de la Sociedad de Neurocirugía de Levante (AU)

Professor Juan José Barcia-Goyanes started neurosurgical practice from anatomy and neuropsychiatry in response to a vacancy at a department known as “Nervous diseases”, in 1931at Hospital General in Valencia, Spain. Since the first intervention, based on the methods and surgical instruments already used in Europe and the U.S.A., the neurosurgical practice became the mainstay of the department, from which other auxiliary specialties emerged, such as neuroradiology, neurophysiology, neuropathology and also new techniques such as stereotactic surgery, functional neurosurgery and palence phalography. This year, the department celebrates its 80th anniversary. The broad spectrum of Prof. Barcia’s scientific work included fields like neurology, neurosurgery and psychiatry, as well as anthropology, medical thought, history of medicine, morphology and history of anatomical language in his work “Onomatologica anatomica nova”, in addition to an interesting poetic work. He was a founding member of the Luso-Spanish Neurosurgical Society and the Neurosurgical Societyof Levante (AU)

[The history of Spanish neurosurgery: the Valencian school: J.J. Barcia Goyanes]. / Historia de la neurocirugía española. La escuela de Valencia: J.J. Barcia Goyanes.

Professor Juan José Barcia-Goyanes started neurosurgical practice from anatomy and neuropsychiatry in response to a vacancy at a department known as "Nervous diseases", in 1931 at Hospital General in Valencia, Spain. Since the first intervention, based on the methods and surgical instruments already used in Europe and the U.S.A., the neurosurgical practice became the mainstay of the department, from which other auxiliary specialties emerged, such as neuroradiology, neurophysiology, neuropathology and also new techniques such as stereotactic surgery, functional neurosurgery and palencephalography. This year, the department celebrates its 80th anniversary. The broad spectrum of Prof. Barcia's scientific work included fields like neurology, neurosurgery and psychiatry, as well as anthropology, medical thought, history of medicine, morphology and history of anatomical language in his work "Onomatologica anatomica nova", in addition to an interesting poetic work. He was a founding member of the Luso-Spanish Neurosurgical Society and the Neurosurgical Society of Levante.

Radiocirugía con acelerador lineal en el tratamiento del schwannoma vestibular / Linear accelerator radiosurgery for the treatment of vestibular schwannoma

Introducción y objetivo. Entre las opciones terapéuticas para pacientes con schwannoma vestibular se encuentra la radiocirugía. Presentamos así nuestra experiencia en el tratamiento de esta patología con esta técnica. Pacientes y métodos. Estudio retrospectivo de 20 pacientes (11 mujeres y 9 varones; edad media: 55,15 años) con diagnóstico de schwannoma vestibular, que recibieron tratamiento con radiocirugía con acelerador lineal desde abril del 2005 hasta diciembre del 2008. El tiempo de seguimiento fue de 12-42 meses, tanto clínico, con valoración de los pares craneales VII (escala de House-Brackmann) y VIII (escala de Gardner-Robertson), como radiológico (con medición del volumen tumoral). Se emplearon el test exacto de Fisher y la prueba de regresión logística para el análisis estadístico. Resultados. El 25% presentó algún empeoramiento de la audición. Cinco pacientes presentaron tumores grandes en el momento del tratamiento (iguales o mayores que 3,5 cm3), de los cuales cuatro empeoraron de cefalea, inestabilidad, mareos/vértigo, parestesias faciales y acúfenos, con una asociación estadísticamente significativa (p < 0,05) en las pruebas aplicadas. A partir del primer año del tratamiento, se observó una tendencia a la disminución del volumen tumoral, sin observarse ningún crecimiento de la lesión a medio-largo plazo, con control local del 100%. Conclusiones. La radiocirugía se ofrece como una alternativa de tratamiento para pacientes con schwannoma vestibular de tamaño adecuado, con alta seguridad terapéutica, que emplea dosis relativamente bajas de radiación, índice bajo de complicaciones y buen control del crecimiento tumoral a medio plazo (AU)

Introduction and aim. Radiosurgery is among the treatment options for patients with vestibular schwannoma. We present the experience in our institution in the treatment of this disease with this technique. Patients and methods. A retrospective study was made including 20 patients (11 women and 9 men; median age: 55.15 years-old) with vestibular schwannoma who received linear accelerator radiosurgery treatment since April 2005 until December 2008. Follow-up period was between 12 and 42 months, considering clinical examination of cranial nerves VII (House-Brackmann scale) and VIII (Gardner-Robertson scale) as well as radiological findings (considering tumor volume). For statistical analysis, the Fisher’s exact test and logistic regression test were used. Results. Certain worsening of hearing function was present in 25% of the patients. Five patients had large tumors at the moment of the treatment (equal or larger than 3.5 cm3), from which four deteriorated from headache, unsteady gait, dizziness/vertigo, facial numbness and tinnitus, with statistical significance (p < 0.05). From the first year of treatment on, there was a tumor volume decrease tendency, with no tumor growth in the medium/long term follow-up, achieving a local control rate of 100%. Conclusions. Radiosurgery has become an alternative in the treatment of patients with vestibular schwannoma of appropriate size, with high safety level, using low radiation doses, low rate of complications and good tumor control rate in the medium term follow-up (AU)