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January 1963

Some Neurosurgical Asides on the Self-Destruction of Neurology

Arch Intern Med. 1963;111(1):123-125. doi:10.1001/archinte.1963.03620250127022

I was intrigued 2 years ago to read in the Archives of Neurology an abstract of Dr. Fritz Cramer's presidential address. His remarks were given only a half column in the summaries of meetings at the back of the journal. But the brief summary contained the most thoughtful and most forceful criticism of present neurological methods I have seen. I kept an eye open should the address be published in full, but it was not. So I wrote to Dr. Cramer, and he sent me a copy of his paper. Twenty years ago, he wrote, the discipline of clinical neurology had been based on a painstaking inquiry into the development of the symptoms, combined with a careful examination. Today it is not fashionable to rely on the pursuit of pure neurology, despite the elegance of the human body and its relatively predictable manner of functioning, and despite the simplicity of