Culturally modified skeletal remains from the site of Huamelulpan,Oaxaca, Mexico

A series of crania from the site of Huamelulpan, Oaxaca, Mexico (400 BC to AD 800), were examined. Four showed notable cultural modifications. One exhibited a healed trephination, while the other three were perforated through the frontal. The cultural context and significance of these modifications is discussed, especially in relationship to the site of Monte Albán, where trephination was more common than anywhere else in Mesoamerica. The post-mortem cranial perforations appear to be connected with the practice of ancestor veneration. © 1997 John Wiley & Sons, Ltd.     

Pierre Marie: Gifted Intellect,Poor Timing and Unchecked Emotionality

Pierre Marie was a prominent member of the French neurological world of the early twentieth century. Having been trained by the celebrated physician, J-M Charcot, Marie remained influenced by his teacher throughout his career. Because of this influence, his career can be logically divided into three phases: first, the early years under the direct mentorship of Charcot (1878-1893); secondly, the aftermath of Charcot’s death when Marie left his teacher’s institution, the Salpêtrière hospital and established himself at the Bicêtre hospital in southern Paris (1893-1918); and finally, Marie’s return to the Salpêtrière to assume the original Charcot chaired professorship, albeit as an aged man (1918-1925). This essay examines Marie’s career with an emphasis on documentation of the combined attributes of a gifted intellect as well as a heated emotionality. In the context of his time, these elements prompted Marie to enter into controversies and medico-political battles that advanced neurological knowledge, but likely disadvantaged him in his career successes.     

The woman behind the syndrome: Frey's syndrome — the untold story*

We present an outstanding example of successful prehistoric double trephination dating between 2700 and 2200 BC, most likely to the Corded Ware culture, at the end of the Neolithic Age. The particularity of this case is the presence of a double trephination, one frontal over the sinus sagittal superior and one parietal right. There is evidence that the patient survived months to years after the operations. The purpose of the procedure is not known. The case confirms the astonishing degree of technical skills reached in Saxony-Anhalt over 4500 years ago without anesthetic, antiseptic, or technologic aids.     

Rare Types of Trephination from Hungary Shed New Light on Possible Cross‐cultural Connections in the Carpathian Basin

Symbolic or incomplete trephinations are very common in Hungary in 9^th–11^thcentury AD skeletal series connected to early Hungarians, although they also occur in the preceding Avar Age (6^th–9^th c. AD) material. During the compilation of a database of regional cranial modification data, the authors found rare almond‐shaped symbolic trephinations in both periods, while these had formerly only been reported in Early Hungarian series. In this study, the new almond‐shaped lesions are described along with other symbolic trephinations of 14 newly found skulls from the 8^th–11^thcenturies AD in the Southern Great Plain of Hungary. The authors review the research of the phenomenon. The new findings may strengthen the theory of direct and very close cultural connections of these two ethnic groups, adding a new aspect to the debate over the origin and relationship of Late Avar (late 7^th–early 9^th c. AD) and Early Hungarian (9^th–11^th c. AD) populations. Copyright © 2013 John Wiley & Sons, Ltd.     

Evidence of surgery in Ancient India: trepanation at Burzahom (Kashmir) over 4000 years ago

The article describes a neolithic skeleton with multiple‐trepanated skull found in Kashmir, the archaeological circumstances of the find, the dating, the background, the skeletal evidence, the details of the trepanation and possible affiliations of the Indus civilization. It speculates briefly about possible medical grounds for the surgery. Copyright © 2001 John Wiley & Sons, Ltd.     

Evidence of Trephinations among the Garamantes,a Late Holocene Saharan Population

The current communication examines three male individuals who belonged to the Garamantian civilisation, Fezzan, Libya. The individuals have been dated to ad 1–700 and exhibit signs of perforations on their crania, which appear to represent trephinations. The sophistication of the practice and its successful execution, as evidenced by traces of healing, indicate that the Garamantes possessed the knowledge of complex surgical procedures. Copyright © 2011 John Wiley & Sons, Ltd.     

Like You Need a Hole in the Head: Tool Innovation a Possible Cause of Trephination. A Case from Kerma,Nubia

This paper presents one case from Kerma (ind‐14.1.595 or K317) which was initially reported to have a ‘fatal traumatic wound’ in the front of the skull. The individual has a dime sized, circular hole with no radiating or concentric fracture lines associated with it. It also shows clear evidence of healing along the inside edges of the pathology. This was according to the preliminary, and only, analysis performed when excavated at Kerma (1913–1916), which was most likely performed by a crew member not formerly trained in anthropology, or medical science. Differential diagnosis will be discussed with respect to this lesion actually being a form of traumatic injury, possible remnants of a bony tumour, and trephination, among other diagnoses. Trephination has been identified in ancient Egypt and Nubian studies, though it is a rarity. Although trephination is a possible cause for the present lesion, this example does not fit the morphology of any other examples of the practise from this region or time period. Given that there have been similar borings witnessed on architecture from the Egyptian Old Kingdom, this lesion may suggest implementation of an already present architectural tool for medical purposes among the Kerma Nubians. Copyright © 2011 John Wiley & Sons, Ltd.     

On the possible ritual marking of a young XVIIIth dynasty pig skull from Tell el‐Amarna,Middle Egypt

A young pig skull, excavated from an ancient Egyptian village near Tell el‐Amarna, Middle Egypt, presents a number of unusual features which are suggestive of ante‐mortem human intervention with subsequent localised infection of the bone. Copyright © 2007 John Wiley & Sons, Ltd.     

Partial cranial trephination by means of Hippocrates' trypanon from 5th century BC Himera (Sicily,Italy)

The paper deals with a new case of partial cranial trephination found in one of the necropolises of the Greek colony of Himera in Sicily. It is one of the very few cases of cranial trephination of Greek classical age. Macroscopic as well as radiological investigations prove that the operation was perimortal as no growth of new bone could be detected, SEM‐EDS microanalysis of the piece revealed the traces left by the tool used during trephination. The review of ancient Greek and Latin medical and surgical texts permitted us to establish that the tool used in Himera was a (trypanon) mentioned by Hippocrates and named terebra by Latin authors. Copyright © 2010 John Wiley & Sons, Ltd.