RSS-Feed abonnieren

DOI: 10.1055/s-0044-1788628
Neurotrauma and Cerebrospinal Fluid in Homer's Poems
Funding None.
Abstract
Homer's Iliad, from the 8th century BC, remains the oldest record of Greek medicine and a unique source of surgical history. The Odyssey, also authored by Homer, narrates several medically significant events. Among the 148 war traumas described in the Iliad, over a quarter occurred in the craniocervical region. Studies on the Odyssey report at least 11 craniocervical traumas, 9 of which prove fatal. Is there any indication of the presence of cerebrospinal fluid (CSF) in the cases described by Homer, considering its last mention was 800 years prior in the Egyptian surgical papyrus of Edwin Smith? A passage in the Iliad suggests that the “tears” Homer mentions in the eyes of Eumelos, resulting from trauma, might be due to CSF oculorrhea secondary to a skull base fracture. In Odyssey Book IX, when the Cyclops strikes the heads of two sailors, and fluid and cranial contents emerge, it can be inferred that the poet was aware of fluid in the head (CSF), as there is no mention of blood. It is proposed that 800 years after the writing of the Edwin Smith papyrus, Homer probably provides the second human observation of CSF associated with traumatic situations involving direct head blows.
Publikationsverlauf
Artikel online veröffentlicht:
16. Juli 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Testut L, Latarjet A. Human Anatomy Treatise. Vol. 3. 9th ed. Barcelona:: Salvat Publishers;; 1984: 39
- 2 Herbowski L. The maze of the cerebrospinal fluid discovery. Anat Res Int 2013; 2013: 596027
- 3 Sahlas DJ. Functional neuroanatomy in the pre-Hippocratic era: observations from the Iliad of Homer. Neurosurgery 2001; 48 (06) 1352-1357
- 4 Godquin B. Was Homer a surgeon?. Chirurgie 1990; 116 (02) 136-143
- 5 Chicco M, Tebala GD. War trauma in Homer's Iliad: a trauma registry perspective. Eur J Trauma Emerg Surg 2021; 47 (03) 773-778
- 6 Stathopoulos P, Ghaly GA, Azari A. Injuries to the head and neck in Homer's Odyssey. Br J Oral Maxillofac Surg 2016; 54 (06) 717-718
- 7 Czarniak N, Kamińska J, Matowicka-Karna J, Koper-Lenkiewicz OM. Cerebrospinal fluid: basic concepts review. Biomedicines 2023; 11 (05) 1461
- 8 Cushing H. Studies on the cerebrospinal fluid. J Med Res 1914; 31 (01) 1-19
- 9 Herbowski L. Massa versus Haller: priority of the cerebrospinal fluid discovery. Neurol Med Chir (Tokyo) 2018; 58 (05) 225-227
- 10 Elsberg CA. The Edwin Smith surgical papyrus: and the diagnosis and treatment of injuries to the skull and spine 5000 years ago. Ann Med Hist 1931; 3 (03) 271-279
- 11 Kamp MA, Tahsim-Oglou Y, Steiger HJ, Hänggi D. Traumatic brain injuries in the ancient Egypt: insights from the Edwin Smith Papyrus. J Neurol Surg A Cent Eur Neurosurg 2012; 73 (04) 230-237
- 12 Krivoy A, Krivoy J, Krivoy M. Partial neurosurgical aspects of the Edwin Smith papyrus. Gac Med Caracas 2002; 110 (03) 386-391
- 13 Konsolaki E, Astyrakaki E, Stefanakis G, Agouridakis P, Askitopoulou H. Cranial trauma in ancient Greece: from Homer to classical authors. J Craniomaxillofac Surg 2010; 38 (08) 549-553
- 14 Dobran SA, Livint Popa L, Muresanu D. History of neurotrauma in ancient Greece. J Med Life 2022; 15 (03) 307-308
- 15 Nomikos N. Injuries in the Greek epics of Homer. Chin J Traumatol 2018; 21 (02) 109-112
- 16 Ralli I, Stathopoulos P, Mourouzis K, Piagkou M, Rallis G. Facial trauma in the Trojan War. Oral Maxillofac Surg 2015; 19 (02) 191-194
- 17 Apostolakis E, Apostolaki G, Apostolaki M, Chorti M. The reported thoracic injuries in Homer's Iliad. J Cardiothorac Surg 2010; 5: 114
- 18 Medrano-Plana Y, Hernández-Borroto CE. The true historical origin of penetrating cardiac trauma. Rev Colomb Cir 2023; 38: 132-137
- 19 Sapounakis C, Rallis G, Mourouzis C, Konsolaki E, Tesseromatis C. Injuries to the head and neck in Homer's Iliad. Br J Oral Maxillofac Surg 2007; 45 (02) 112-115
- 20 Mylonas AI, Tzerbos FH, Eftychiadis AC, Papadopoulou EC. Cranio-maxillofacial injuries in Homer's Iliad. J Craniomaxillofac Surg 2008; 36 (01) 1-7
- 21 Escudero Villanueva A, Ráez Balbastre J, Morales Paciencia A, Fernández García A, Argaya Amigo J. Ophthalmic injuries in The Iliad of Homer. Arch Soc Esp Oftalmol (Engl Ed) 2019; 94 (12) e89-e90
- 22 Galanakos SP, Bot AG, Macheras GA. Pelvic and lower extremity injuries in Homer's Iliad: a review of the literature. J Trauma Acute Care Surg 2015; 78 (01) 204-208
- 23 Hutchison RL, Hirthler MA. Upper extremity injuries in Homer's Iliad. J Hand Surg Am 2013; 38 (09) 1790-1793
- 24 Homer Iliad. Bilingual Greek-Spanish Edition. 2nd ed. Barcelona: Cátedra Editions (Universal Letters); 1991
- 25 Lang E, Leaf W, Myers E. The Iliad of Homer, Done into English Prose. London:: MacMillan and Co.;; 1883:XXIII; 387-422
- 26 Kayhanian S, Machado RJ. Head Injuries in Homer's Iliad. World Neurosurg 2020; 143: 33-37
- 27 Pease M, Marquez Y, Tuchman A, Markarian A, Zada G. Diagnosis and surgical management of traumatic cerebrospinal fluid oculorrhea: case report and systematic review of the literature. J Neurol Surg Rep 2013; 74 (01) 57-66
- 28 Salame K, Segev Y, Fliss DM, Ouaknine GE. Diagnosis and management of posttraumatic oculorrhea. Neurosurg Focus 2000; 9 (01) e3
- 29 Galzio RJ, Lucantoni D, Zenobii M, Grizzi LC. Traumatic craniopalpebral cerebrospinal fluid fistula. J Neurosurg Sci 1981; 25 (02) 105-107
- 30 Joshi KK, Crockard HA. Traumatic cerebrospinal fluid fistula simulating tears. Case report. J Neurosurg 1978; 49 (01) 121-123
- 31 Till JS, Marion JR. Cerebrospinal fluid masquerading as tears. South Med J 1987; 80 (05) 639-640
- 32 Batur M, Seven E, Aycan A, Çinal A, Yaşar T. Posttraumatic oculorrhea from the eyelid. Pediatr Emerg Care 2018; 34 (08) e150-e151
- 33 Andersson D, Kjellén G. Oculorrhea after facial fracture and anterior skull base fracture. Lakartidningen 2016; 113: 113
- 34 Cunliffe RJ, Dee JH. A Lexicon of the Homeric Dialect. Norman:: University of Oklahoma Press;; 2012
- 35 Parker PM. ed. The Odyssey: Webster's Spanish Thesaurus Edition. Translated by Butcher and Lang. San Diego, CA:: ICON Group International, Inc.;; 2005: 137
- 36 Walshe TM. Neurological concepts in archaic Greece: what did Homer know?. J Hist Neurosci 1997; 6 (01) 72-81