1. History of Neurology Early New York Neurology – Part I
Sequin, Starr, Dana, Sachs & The Neurologic Institute of New York
Richard J. Barohn, MD
Gertrude and Dewey Ziegler Professor of Neurology
The University of Kansas Medical Center

2. Edward Constant Séquin, MD 1843-1898
B. Paris, son of physician Edouard Séquin
Father moved them to Ohio
1864 – MD at College of Physicians and Surgeons in NY
Military service in Little Rock & New Mexico
– Paris with Brown-Séquard & Charcot to study diseases of nervous system
1870 – Chair of Diseases of Nervous System at College of Physicians & Surgeons
Contributions:
Autopsy of Multiple Sclerosis
Spastic Paraplegia
Introduction of medical thermometry
Leader in foundation of the Neurology department of Vanderbilt Clinic, College of P&S, Director
Important place of training for neurologists and medical students until it closed in 1929 when College of P&S entered the Columbia-Presbyterian Medical Center
Editor of many journals, one with Brown-Séquard
Founded Origins Neurology in NYC with Hammond
Edward Constant Séquin, MD

3. Moses Allen Starr, MD 1854-1932 B. Brooklyn, NY
1876 – BA; Princeton, NY
1880 – MD; College of Physicians and Surgeons, NY
Residency; Bellevue Hospital
Studied Abroad:
Heidelberg – Wilhelm Erb & Friedrich Schultze
Vienna – Theodor Meynert & Hermann Nothnagel
Paris – Jean-Martin Charcot
– Professor of nervous disease; New York Polyclinic
– Chair of nervous disease, College of P&S (succeeded Séquin)
Lived and worked on upper East Side NYC
1896 – President of ANA
Contributions:
Sensory tracts localization in CNS
Apraxia
Localization of brain tumors
Polyneuritis
Books:
Lectures on Diseases of the Mind (1891)
Lecture on Disease of the Nervous System (1891)
Familiar Forms of Nervous Disease (1903)
Organic and Functional Nervous Diseases (1913); 10 editions
New York Neurology Triumvirate: Starr, Dana, Sachs
Moses Allen Starr, MD

4. Moses Allen Starr M.D. Books

5. Charles Loomis Dana, MD 1852-1935
B. Vermont; Dartmouth in 1872
MD 1878 at College of P&S; intern at Bellevue Hospital (Flint, Janeway)
Professor of Diseases of the Nervous System and Mind at the New York Post-Gradudate Hospital ( )
Professor of Nervous Diseases at Cornell Medical College ( )
President of ANA (1892 & 1928)
Contributions:
Brain damage in alcohol
Transverse myelitis
Spinal nerve relief section for pain spastic paralysis
Books
Text Book of Nervous Disease and Psychiatry for the Use of Students and Practitioners of Medicine ; 10 editions
Charles Loomis Dana, MD

6. Early New York Neurology Charles Loomis Dana M.D. (1852-1935)
Charaka Club & Proceedings of the Charaka Club
Founded with Collins, Sachs, Peterson
Literary society of physicians: presented papers on philosophy, ancient medicine, history & literary aspects of medicine
Members: Mitchell, Pearce Bailey, Smith Ely Jeliffe, Foster Kennedy, John Shaw Billings, Fielding Garrison, and Harvey Cushing. Osler was an honorary member
Originally called the Medico-Historical Club because the founders were seriously interested in the historical, literary and artistic aspects of medicine
Changed its name to The Charaka Club in 1900

7. What does Charaka mean? Type of drink in NYC Type of dance
Sanskrit name of a Doctor
Type of medical instrument
Answer: C - Sanskrit name of a Doctor
The most ancient and complete works shown in existence were those of Charaka (Sanskrit Caraka, c 600 BC) who has been labeled by some historians as the Father of Medicine

8. B. in Baltimore; Harvard 1878 (influenced by William James)
Medical school Strasbourg (1882)
Studied with Meynert (Vienna), Jackson (London), Charcot (Paris), and Westphal (Berlin)
Practiced neurology at Mount Sinai Hospital, NYC
Translated Meynert’s Text of Psychiatry
President ANA, 1894 & 1932
Dept. of Neurology at MT Sinai, established 1890
Sachs head
On Arrested Cerebral Development with Special Reference to Its Cortical Pathology (1887)
Tay in England described ocular blindness
Professor of Nervous and Mental Dis.; New York Polyclinic until 1925
Professor of Clinical Neurology; Columbia (1933)
Director of Division in Child Neurology; New York Neurology Institute (1934)
Books:
Nervous disease of Children (1894)
Nervous and Mental Disorders from Birth Through Adolescence (1926)
Bernard Sachs, MD

9. Neurologic Institute of New York
Founded in 1909 by Pearce Bailey, Joseph Collins, Joseph Fraenkel, and Neurosurgeon Charles Elsberg
Dana and Sachs – Consultants
1909 Letter from Dr. Collins:
“Dr. Joseph Fraenkel and I have for a long time been nurturing plans for the establishment in New York of a small hospital for the study and treatment of nervous diseases, particularly the so-called functional varieties including brief and curable mental disorders”
Then: Frederick Peterson, Ramsay Hunt, Foster Kennedy, Smith Ely Jeliffe, Frederick Tilney
1929 moved to 168th and Fort Washington Ave. Became affiliated with the College of P&S of Columbia Univ. and the Columbia-Presbyterian Medical Center

10. Neurologic Institute of New York
Founders:
Pearce Bailey, MD
Joseph Collins, MD
Joseph Fraenkel, MD
Charles Elsberg, MD

11. Other Early New York Neurologist
Smith Ely Jeliffe ( )
1889 College of Physicians & Surgeons; PhD from Columbia
President of NY Psychiatric Society, NY Neurological Society, & American Psychopathological Association
Diseases of the Nervous System: A text book of Nervous and Mental Diseases – 1915
James Ramsay Hunt ( )
Studied under Mills
Studied in Europe: Oppenheim, Marie, Dejerine, & Babinski
Cornell with Dana
Herpetic inflammation of the geniculate ganglion
College of P&S until retirement
Frederick Tilney ( )
The Brain and Functions of the Central Nervous System
The head of Neurological Institute