Norman Geschwind
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Norman Geschwind (January 8, 1926 – November 4, 1984) was a pioneering American behavioral neurologist, best known for his exploration of behavioral neurology through disconnection models based on lesion analysis.


Early life

Norman Geschwind was born on January 8, 1926, in New York City, New York to a Jewish family. He was a student at Boy's High School in Brooklyn, New York. He matriculated into
Harvard University 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 highe ...
in 1942, initially planning to study mathematics. His education was interrupted when drafted into the Army in 1944. After serving for two years, he returned to Harvard University in 1946. Geschwind changed to the Department of Social Relations and studied a combination of social/personality psychology and cultural anthropology. Geschwind later married and had three children, Naomi, David, and Claudia.


Medical education and training

Geschwind attended
Harvard Medical School Harvard Medical School (HMS) is the graduate medical school of Harvard University and is located in the Longwood Medical Area of Boston, Massachusetts. Founded in 1782, HMS is one of the oldest medical schools in the United States and is cons ...
, intending to become a
psychiatrist A psychiatrist is a physician who specializes in psychiatry, the branch of medicine devoted to the diagnosis, prevention, study, and treatment of mental disorders. Psychiatrists are physicians and evaluate patients to determine whether their sy ...
. His emphasis began to shift after studying neuroanatomy with Marcus Singer, at which time he began to develop an interest in
aphasia Aphasia is an inability to comprehend or formulate language because of damage to specific brain regions. The major causes are stroke and head trauma; prevalence is hard to determine but aphasia due to stroke is estimated to be 0.1–0.4% in ...
and
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 ...
. He graduated medical school in 1951. Geschwind continued his studies at London's National Hospital, Queen Square, as a Moseley Travelling Fellow from 1952 to 1953, then as a
United States Public Health Service The United States Public Health Service (USPHS or PHS) is a collection of agencies of the Department of Health and Human Services concerned with public health, containing nine out of the department's twelve operating divisions. The Assistant ...
fellow from 1953 to 1955. He studied with Sir
Charles Symonds Air Vice Marshal Sir Charles Putnam Symonds (11 April 1890 – 7 December 1978) was an English neurologist and a senior medical officer in the Royal Air Force. His initial medical training was at Guy's Hospital, followed by specialised trainin ...
who taught the importance of neurologic mechanisms to studying disorders. In 1955, Geschwind became neurology chief resident at the
Boston City Hospital The Boston City Hospital (1864–1996), in Boston, Massachusetts, was a public hospital, located in the South End. It was "intended for the use and comfort of poor patients, to whom medical care will be provided at the expense of the city, and . ...
and served under
Derek Denny-Brown Derek Ernest Denny-Brown OBE (1901 – 20 April 1981) was a New Zealand-born neurologist. Working in Oxford, London and Boston, he made major contributions to the field of neurology, such as the development of electromyography, physiology of mi ...
. From 1956 to 1958 he was a research fellow studying muscle disease at the
MIT The Massachusetts Institute of Technology (MIT) is a private land-grant research university in Cambridge, Massachusetts. Established in 1861, MIT has played a key role in the development of modern technology and science, and is one of the m ...
Department of Biology. Geschwind joined the Neurology Department of the Boston Veterans Administration Hospital in 1958, where he met Fred Quadfasel, chief of neurology for the department. At this time, his clinical interest in aphasia developed into his lifelong study of the neurological basis of language and higher cognitive functions. Quadfasel encouraged Geschwind to study classic texts of neurology from the 19th and early 20th century, exposing him to classic localizationist theory.


Career

Geschwind became Chief of Neurology at the Boston VA Hospital in 1962, and an Associate Professor in Neurology at
Boston University Boston University (BU) is a private research university in Boston, Massachusetts. The university is nonsectarian, but has a historical affiliation with the United Methodist Church. It was founded in 1839 by Methodists with its original cam ...
. Geschwind with
Edith Kaplan Edith F. Kaplan (February 16, 1924 – September 3, 2009) was an American psychologist. She was a pioneer of neuropsychological tests and did most of her work at the Boston VA Hospital. Kaplan is known for her promotion of clinical neuropsycholog ...
established in the early 1960s at the Boston VA the Boston University Aphasia Research Center. The Aphasia Research Center would go on to become a pioneer in interdisciplinary aphasia research, including luminaries like Harold Goodglass. Geschwind ended his tenure as chief of neurology at the VA in 1966 and became Chair of the Department of Neurology at Boston University for 1966–68. In 1969, he was chosen as Harvard Medical School's James Jackson Putnam Professor of Neurology, a position previously held by his old mentor,
Derek Denny-Brown Derek Ernest Denny-Brown OBE (1901 – 20 April 1981) was a New Zealand-born neurologist. Working in Oxford, London and Boston, he made major contributions to the field of neurology, such as the development of electromyography, physiology of mi ...
. At Harvard he continued to research aphasia and epilepsy, as well as dyslexias, the neuroanatomy of cerebral lateral asymmetries, and other areas of neurological dysfunction. Geschwind was noted for his inspirational teaching of medical students, residents, and fellows. He also supported an interdisciplinary approach to research. He significantly shaped the neurological climate in the US and Europe during his life, an influence which lives on in his students. Geschwind is credited with coining the term
behavioral neurology Behavioral neurology is a subspecialty of neurology that studies the impact of neurological damage and disease upon behavior, memory, and cognition, and the treatment thereof. Two fields associated with behavioral neurology are neuropsychiatry an ...
in the 1970s to describe the corpus of course material in the area of higher cortical functions starting to be presented at
American Academy of Neurology The American Academy of Neurology (AAN) is a professional society representing over 38,000 neurologists and neuroscientists. As a medical specialty society it was established in 1948 by A.B. Baker of the University of Minnesota to advance the ...
meetings. He also credited with the discovery of
Geschwind syndrome Geschwind syndrome, also known as Gastaut-Geschwind, is a group of behavioral phenomena evident in some people with temporal lobe epilepsy. It is named for one of the first individuals to categorize the symptoms, Norman Geschwind, who published pr ...
, which describes an interictal behavior pattern seen in some temporal lobe epileptics. In later years, Geschwind worked with a number of neurologists to whose future research careers in behavioral neurology he gave significant direction; among these were Albert Galaburda, Kenneth Heilman, Elliott Ross, and David N. Caplan. He actively encouraged and supported interdisciplinary research. Geschwind would remain at Harvard Medical School until his premature death on November 4, 1984, aged 58.


Legacy

Several of his trainees went on to train other neurologists in behavioral neurology, including Albert Galaburda, D. Frank Benson,
Antonio Damasio Antonio Damasio ( pt, António Damásio) is a Portuguese-American neuroscientist. He is currently the David Dornsife Chair in Neuroscience, as well as Professor of Psychology, Philosophy, and Neurology, at the University of Southern California ...
, Marsel Mesulam, Kenneth Heilman, and Elliott Ross. The Norman Geschwind Award in Behavioral Neurology is presented through the American Academy of Neurology and the Society for Behavioral and Cognitive Neurology yearly in honor of Geschwind. The Norman Geschwind-Rodin Prize is a Swedish award for research in
dyslexia Dyslexia, also known until the 1960s as word blindness, is a disorder characterized by reading below the expected level for one's age. Different people are affected to different degrees. Problems may include difficulties in spelling words, r ...
. Neurological eponyms include
Geschwind syndrome Geschwind syndrome, also known as Gastaut-Geschwind, is a group of behavioral phenomena evident in some people with temporal lobe epilepsy. It is named for one of the first individuals to categorize the symptoms, Norman Geschwind, who published pr ...
and the
Geschwind–Galaburda hypothesis The Geschwind–Galaburda hypothesis is a neurological theory proposed by Norman Geschwind and Albert Galaburda in 1987. The hypothesis posits there are sex differences in cognitive abilities by relating them to lateralisation of brain function. Th ...
. Geschwind's former trainees and colleagues collaborated on a book in his memory, and two of his nephews,
Daniel Geschwind Daniel H. Geschwind is the Gordon and Virginia MacDonald Distinguished Professor of Human Genetics, Neurology and Psychiatry at the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). He also directs the UCLA Ne ...
and Michael Geschwind, have become prominent in the field of neurology.


References


Bibliography

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External links


Norman Geschwind papers, 1872-2009 (inclusive), 1968-1984 (bulk). H MS c435. Harvard Medical Library, Francis A. Countway Library of Medicine, Boston, Mass.
{{DEFAULTSORT:Geschwind, Norman American neurologists 20th-century American psychologists Neuropsychologists American cognitive neuroscientists Jewish American scientists Harvard Medical School alumni Harvard Medical School faculty Dyslexia researchers 1926 births 1984 deaths 20th-century American physicians People from New York City 20th-century American Jews