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Early studies of the human brain used a simple method: wait for misfortune to strike--strokes, seizures, infectious diseases, horrendous accidents--and see how victims coped. In many cases their survival was miraculous, if puzzling. Observers were amazed by the transformations that took place when different parts of the brain were destroyed, altering victims' personalities. Parents suddenly couldn't recognize their own children. Pillars of the community became pathological liars. Some people couldn't speak but could still sing. Sam Kean explains the brain's secret passageways and recounts forgotten tales of the ordinary people whose struggles, resilience, and deep humanity made modern neuroscience possible.--From publisher description. The author of the best-seller The Disappearing Spoon offers fascinating tales of the brain and the history of neuroscience.… (more)
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Kean looks at such phenomena as phantom limbs and syndromes like Cotard’s in which sufferers are convinced they are dead. Among the anecdotes Kean relates is that of King Henry II of France in the 16th c. who began to have seizures and bouts of paralysis after being injured by a lance through his eye during a jousting match. Oddly, only one side of his body was affected. His doctors considered opening his skull but, given that he was the king, that seemed a tad dangerous for all concerned so, instead, they examined the brains of executed prisoners. Henry eventually died of a brain hemorrhage but his case hinted at what later doctors would discover, that the two sides of the brain control different functions. And then there’s the case of Phineas Gage whose skull and brain were pierced by a tamping iron in an industrial accident. Gage remained conscious and seemingly unfazed throughout the ordeal of having it removed but, afterwards, his personality changed completely.
Kean’s chatty and often humourous way of describing scientific discoveries not only makes the science accessible to all but it makes it a whole lot of fun to read. However, he doesn't just relate anecdotes but he humanizes these patients making them more than their misfortunes and the learning they provide, something that science writers too rarely do.
The dueling neurosurgeons of the title represent both Paré and Vesalius (the founder of modern anatomy)
The book is populated with famous characters from the annals of medical history. They’re all here: Vesalius, Cajal, Golgi, Broca, HM, Penfield, etc., but they are not dusty relics in a history museum. They come alive because Kean describes not just their feats but how their actions propelled forward various concepts and understandings of anatomy and medicine, based on case histories that are vividly and engagingly described. While his tone is frequently light and humorous, he nonetheless stays within bounds and always respects the humanity of the patients.
The evolution of medical thinking is illustrated with these fascinating stories. He has achieved the ideal pop science narrative that seamlessly marries case histories to fundamental neurological concepts.
(Received as ARC via NetGalley from Little, Brown & Co.)
A ton of neuroscience history is covered in great detail in this book. A few of the stories/concepts were ones I’d heard of before, but most of it was completely new to me and I still learned new things about the stories/concepts I was already familiar with. The ways in which scientists have studied and come to understand the complexities of the brain is amazing, and it’s amazing how the consequences of brain damage are so wide ranging (and sometimes bizarre) depending on where and what’s damaged.
What made this book extra entertaining and captivating was Kean’s writing. I get the impression that this stuff is interesting and enjoyable to him, and it really comes through in the way he describes and explains things with such care and enthusiasm. A lot of the stories cover serious and grim things, but, where appropriate, his writing turns amusing and made me smile.
Buy a copy or borrow it from the library—you’ll be happy you did! :]
Note: I received an advanced reading copy of this book in exchange for an honest review.
Imagine this friend
Lest my description above makes it sound too shallow without enough science, let me stress that the science is here; Kean uses these anecdotes to introduce or illustrate the neuroscience. He succeeds in taking an incredibly complex creation and making the higher levels of its architecture understandable, even for those of us who do not have Ph.D's or M.D.'s.
He has asterisks throughout the text that connect to a Notes section at the back. These include anecdotal asides, clarifications, and suggestions for further reading. If you read the book, these are not to be missed because there's a lot of stunning information here (lobotomobile). There's also a Source list and an index.
I've been a fan of Kean's since he wrote The Disappearing Spoon but I think this one is his best written yet. I went 4.5 stars because I could have done without the details of animal experiments and I skipped those sections, but otherwise I'd unreservedly recommend this book to anyone who has a slight interest in the human brain but doesn't want the interest smothered with dry academic writing.
I mostly listened to this while fixing suppers, so the audiobook's exhortations to print the
To tackle the mysteries of the brain and its parts, the author uses a series of vignettes from the historic to the contemporary. Stories of those suffering from
That is not to say there aren't a few unavoidable dark parts, but then again if you're a true history reader, you know you can't just read the cheery bits. If you wish to try it, I do recommend this book, there's a ton of quality information here!
This book opens and closes with perhaps the most famous case in the history of neuroscience: The story of Phineas Gage. While managing railroad construction in the mid-19th century, this man improbably had a spear shoot through the front of his skull. His left eye was disabled, and the spear bore a hole in the left-rear frontal lobe of his brain. It flew out immediately, and he survived to tell the tale. Despite many witnesses, medical professionals initially did not believe his tale but confirmed it through witnesses and its effects. Gage lived for over a decade after this freak accident, but his personality changed dramatically in unanticipated ways. At the time, we knew little about brain functioning, but his unique case has taught neurologists lessons for almost 200 years.
Striking human tales like this fill each chapter of Kean’s book. They go into great detail to explain specific lessons of neuroanatomy and neurophysiology that we’ve learned from the stories. Thus, this book describes a history of neurology from the perspective of affected patients who gave us further understanding. The main limitation of this book is that each chapter is somewhat self-contained. It’s hard to keep an overall narrative going throughout the entire book. The attempt is made, but it’s just not too pronounced. Like many subjects in medical science, the minutiae, even those of lively stories, can sometimes prevent the reader from seeing the big picture.
Because this history spans the humanities and the sciences, many audiences can benefit from this work. Budding neuroscientists and medical students can bring some of their dry scientific studies to life. Those involved in the care of neurological patients can benefit from understanding the human impacts of their profession. The curious public can learn about the emerging field of neuroscience. Authors can engage their imagination with scientifically verifiable stories of human quirks. Finally, we all can learn greater compassion for those whose brains may not work quite like the rest of us yet share common human dignity.