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A few evenings ago in the Hall of the Neurological Clinic of
Bologna University Dr. HENRI HEcAEN gave a lecture on the
physiopathology of writing. As I was listening to his learned
exposition, memories returned to me of times when my reaction to
his work was not always the enjoyment of a quiet listener; namely,
of the times when, ten years before, during the" seances du samedi"
at the Neurosurgical Center of Saint' Anne Hospital in Paris, our
meetings often consisted of disputes, in a sparkling tangle of
alliances and hostilities, which would often result in clashes
between TALAIRACH,AJURIAGUERRA, BREGEAT, M. , and Mme DELL,KLoTz
(each one passionately pleading for his own speciality), with a
brillant chorus of collaborators: CONSTANS, ABouLKER, DELIGNE,
SADOUN, BANCAUD ...enlivening the scene. I re- member the
discussions on clinical cases, the "lettres au directeur et aux
medicins soignants" in which GUILLY was a master of diplomacy, the
biting hints at the administrators, the smiles between allies or
lovers. And in that casbah-like uproar of students, doctors,
patients, attendants, technicians, and spectators, the voice of the
"Grand Chef," preceded by a slam on the table, ringing out loudly:
"Nom de Dieu! Voulez-vous vous taire et nous foutre la paix?"
Monsieur David was always able to humanize any abstract problem.
Saint' Anne! An arena where we dealt with the latest findings of
neurology, psychiatry, stereotaxis, neurosurgery, neurophthalmo-
logy, electroencephalography and neuroradiology. lowe my career to
having met Erik Lindgren and Marcel David.
Since its presentation by G.N. Hounsfield at the second Congress of
the European Association of Radiology in Amsterdam in June 1971,
"Computerised Trans verse Axial Tomography" which became later on
"Computerised Axial Tomography (CAT)" then simply "Computed
Tomography (CT)" has developed extremely rapidly. Many papers have
appeared in a short time, pointed out the substantial advantages of
this new technique and precisely describing the characteristic
images obtained. The number of devices is already considerable and
their evolution tends towards the improvement of the quality of
images and the shortening of exploration time. It is not an
exaggeration to say that there is no longer any Neuroradiology
without computed tomography. Does that mean that this new technique
is infallible and that classical neuroradiological techniques are
due to disappear in the near future? Experience shows that if
certain techniques, such as gas encephalography, 'are less
frequently employed since CT, others, such as cerebral angiography,
are still commonly required.
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