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Why Marie Did Not Notice the Missing Parts?

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Then the question arises. Why Pierre Marie had repeatedly made this kind of simple error to identify the cortical areas? The answer is given by one of his last pupils form the United States. Percival Bailey, the famous neurosurgeon, entered Marie’s clinic at the Salpêtrière in 1921 as foreign assistant. He wrote “Only rarely did he enter the wards and never the laboratory, for he was very sensitive to formalin and would look at fixed brains only through a window, and there dictate his description” [7]. Although the above-mentioned anatomo-pathological studies of patients with aphasia were done in the Hospice de Bicêtre, and not in the Salpêtrière, he was sure to use it to observe the already cut horizontal brain slices indirectly through a window, as Bailey described. As shown in the previous Figures 1 and 4, two most important pieces of the posterior part of the inferior frontal gyrus, opercular and triangular parts are liable to be dropped out from the entire horizontal slice at the level of Sylvian fissure because they are not connected with the rest of the brain. My speculation is that Pierre Marie, in his routine laboratory works, made his assistants to cut the brains, but they did not pay enough attention to these 2 small pieces of brain inevitably detached from the rest of the brain slice.

A History of Neuropsychology

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