The Pathology, Diagnosis and Treatment of Intra-Cranial Growths (Classic Reprint)
(Excerpt from The Pathology, Diagnosis and Treatment of In...)
Excerpt from The Pathology, Diagnosis and Treatment of Intra-Cranial Growths
It must be borne in mind, however. That very few children are received at the Boston City Hospital except those suffer ing from acute infectious diseases and surgical affections. Gowers' statistics show that one-third of the cases occur before the age of twenty, two-fifths from twenty to forty, and one fifth from forty to sixty. Steffen5 cites a case in a four weeks' old infant, and he and Starr6 have found, in children and youths up to twenty years of age, that cases are commoner before the age of eight than after it.
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Philip Coombs Knapp was an American neurologist. He served as a physician at the Boston City Hospital from 1886 to 1913 and as a neurologist to the Boston Dispensary from 1886 to 1888.
Background
Philip Coombs Knapp, the son of Philip Coombs Knapp and Sally Harriette (Moore) Knapp, was born on June 03, 1858 at Lynn, Massachusetts, United States. He was the ninth in direct descent from William Knapp who came to America from England in 1630.
Education
Knapp attended the Lynn High School and later Harvard College, from which he was graduated with the degree of Bachelor of Arts in 1878, at the age of twenty--the youngest in his class. He went directly to Harvard Medical School and received his Master of Arts and Doctor of Medicine degrees in 1883. Later he studied abroad for a brief period in Vienna and in Germany.
Career
Knapp served for some time as a house officer at the Boston City Hospital and the Boston Lunatic Hospital. In 1884 he started to practice in his chosen field of neurology. In 1885 he was appointed assistant physician for diseases of the nervous system to outpatients at the Boston City Hospital, and in 1886 was promoted to physician in that department. At that time there was no regular service inside the hospital for diseases of the nervous system, and it was largely through his efforts that the neurological department was given a house service of fifty beds and a fully equipped ward for mental cases. At the time of his death he was senior physician. He was also neurologist to the Boston Dispensary from 1886 to 1888. In 1888 he became clinical instructor in diseases of the nervous system at Harvard, a post he held until 1913.
In 1891 Knapp published his treatise on tumors of the brain, The Pathology, Diagnosis and Treatment of Intra-Cranial Growths. Though Horsly had just begun to make his early operations on the brain, Knapp foresaw the possibilities of surgical treatment of brain tumors, and in a subsequent paper, "The Treatment of Cerebral Tumors, " Boston Medical and Surgical Journal, October 5, 12, and 19, 1899, he favored surgical intervention, especially when it was possible to save vision.
Knapp had an unusual knowledge of neurological literature and himself contributed to many of its branches. He wrote the section on "Nervous Affections Following Railway and Allied Injuries, " in F. X. Dercum's Textbook on Nervous Diseases by American Authors (1895), "Feigned Diseases of the Mind and Nervous System" in A System of Legal Medicine (2 vols. , 1894), by A. M. Hamilton and Lawrence Godkin, and "Traumatic Neurasthenia and Hysteria, " in Brain, Autumn 1897. In 1887, 1893, 1901, 1911, and 1912 he acted as editor and cotranslator of Adolf von Strümpell's Textbook of Medicine.
Achievements
Knapp was one of the pioneers of American neurology. He was known as an author of the first treatise to be published in the United States on tumors of the brain, "The Pathology, Diagnosis and Treatment of Intra-Cranial Growths" (1891).
(Excerpt from The Pathology, Diagnosis and Treatment of In...)
Membership
Knapp showed a special interest in the legal aspects of nervous and mental disease, and was a member of the Massachusetts Medico-Legal Society and the American Association of Medical Jurisprudence.
Personality
Knapp was a gifted linguist, familiar with French, German, and, especially, Italian. For twenty years he was a councilor of the Dante Society. He was an ardent bibliophile and an authority on the art of cooking. He appeared many times in court as medical expert, and because of his wide knowledge and experience as well as his unbiased decisions his judgment was highly respected by his legal associate. A certain reserve and taciturnity kept him from being very popular as a teacher: he was thorough in his methods, exacting in details, and possessed such a remarkable memory that he seemed to expect too much of his pupils. To the few, however, who did come to know him well, he was a stimulating teacher. He rarely imparted much of his great fund of knowledge voluntarily, but to those who were interested enough to ask questions he gave freely. Among his intimates he was known as a witty and entertaining conversationalist.
Connections
On December 12, 1893 Knapp married Isabel (Williams) Stebbins, a widow of Springfield.