The year 1848 was a time of political volatility in Europe. Frequent revolutions pitted the working and middle classes against reactionary governments seeking to regain and sustain social, political, and economic privilege. In the United States, the American Medical Association (AMA), which had been founded 1 year earlier, sought to organize physicians and to establish standards of medical practice and medical education. Although not yet a specialty in the modern sense of the word, neurology was there.
Satran R. Neurology Was There in 1848. Arch Neurol. 1998;55(6):867-868. doi:10.1001/archneur.55.6.867