1. Robert Wartenberg MD Robert Fishman MD Robert B Layzer MD
History of Neurology West Coast Neurology ________________________________
The 3 Roberts of UCSF
Robert Wartenberg MD
Robert Fishman MD
Robert B Layzer MD

2. Robert Wartenberg MD (1887-1956)
b Garten (German border of Russia)
Schooling: Gymnasium in Stuttgart
Medical studies: U of Kiel, Munich, Freiburg, and Rostock. (grad 1919)
Mentors: Hocke (Freiburg) Cassier (Berlin) Nonne (Hamburg) Foerster (Breslau)
1925: Fellow Rockefeller Foundation- England/France/USA (Boston under Cushing)
1928- Privatdozent in Freiburg
1933-Head Neurology Clinic Freiburg
1935-Fled Nazi Germany to USA & UCSF- rose through academic ranks
1952- Clin Prof Neurology/ 1954 Prof Emeritus

3. Robert Wartenberg MD (1887-1956)
Link to golden age of descriptive Neurology in Europe
Books:
Examinations of Reflexes and Diagnostic Test of Neurology (1945)
Diagnostic Tests of Neurology (1953)
Neuritis, Sensory Neuritis, Neuralgia (1958)
Wartenberg’s Eponymy’s
Disseminated sensory neuropathy of Wartenberg
Wartenberg syndrome or cheiralgia paraesthetica
– radial sensory neuropathy
Sign of Wartenberg –abduction of 5th finger in ulnar nerve palsy
Phenomenon of Wartenberg – deviation of jaw of opposite side when touch cornea-also cornea mandibular reflex
Roulette Wartenberg- sensory testing device

4. Wartenberg’s Sign- Associated Movement of the Thumb
Patients palm up on examiners hand
Flex fingers against examiners fingers
Normally – no thumb movement
Pyramidal lesion– thumb abduct , flex, cross palm in opposition
Variant- hook top patients index finger against examiners

5. Wartenberg Wheel
A Wartenberg wheel, also called a Wartenberg pinwheel or Wartenberg neurowheel, is a medical device for neurological use. Robert Wartenberg designed the wheel to test nerve reactions (sensitivity) as it rolled systematically across the skin.

6. Robert Fishman MD 1924-2012 b NYC
College :Columbia, age 16; med school: U Penn
Accelerated US Army program in WWII- grad 1947, age 22
Intern- Yale; then MGH
Then Columbia for Neuro residency co-residents: Ziegler & Rowland ; mentor/chair: H Houston Merritt
Korean War- Walter Reed Hos
Chief Res & Faculty Columbia
Studied blood-brain barrier & CSF physiology and biochemistry
1966 UCSF-Chair Neuro until 1992
Pres AAN,AUPN, ANA, ABPN
Editor: Annals of Neurology

7. Lewis “Bud” Rowland, Dewey Ziegler & Robert Fishman.
Robert Fishman & Dewey Ziegler

8. Robert Fishman MD
Cerebrospinal Fluid in Diseases of the Nervous System (1980 1ST ed, 2nd ed. 1992)
Was continuation of H. Houston Merritt’s book - Cerebrospinal Fluid (1938)
Cerebrospinal Fluid in Diseases of the Nervous System
Cerebrospinal Fluid
2nd Ed
1st Ed
(1992)
(1938)

9. Robert B Layzer MD (1931-present)
b Cleveland
College- Harvard, studied French, history, literature, and acted in Harvard Theater Group.
Won Garrison poetry prize
Med School: Harvard
Columbia Neuro residency
Was a fellow of Lewis Rowland, neuromuscular disease
Faculty Columbia
1967 moved to UCSF Neurology dept. after Dr. Fishman
Neuromuscular faculty there his whole career.
Publications on Periodic Paralysis , Muscle Energy Metabolism, Motor Unit Hyperactivity State
Book: Neuromuscular Manifestation of System Disease (1985)