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Gerard Guiot (1912-1998)

Gerard Guiot (1912-1998). Kamal R.M. Woods, MD Department of Neurological Surgery Loma Linda University. Gerard Guiot: The Man. French Neurosurgeon Born January 19, 1912 Raised in Fourmies, Northern France Strong musical inclination Married Elsie Bouettery on March 6, 1937

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Gerard Guiot (1912-1998)

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  1. Gerard Guiot (1912-1998) • Kamal R.M. Woods, MD • Department of Neurological Surgery • Loma Linda University

  2. Gerard Guiot: The Man • French Neurosurgeon • Born January 19, 1912 • Raised in Fourmies, Northern France • Strong musical inclination • Married Elsie Bouettery on March 6, 1937 • Had 4 daughters

  3. Gerard Guiot: His Training • Medical School of Paris • 1937: Graduated with Laurette distinction and Silver Medal • Neurosurgical training under Professor R. Garcin, Paris

  4. Gerard Guiot: His Mentors • Professor Clovis Vincent • Guiot: “spiritual grandson” of Harvey Cushing • Professor D. Petit-Dutaillis, “l’Hopital La Pitie” • Professor Norman Dott of Edinburgh

  5. Clovis Vincent Percival Bailey

  6. Gerard Guiot: His Work • 1944-1956: Corneo-pterygoidal Reflex • 1947: Surgical subtemporal approach -mesencephalic tractotomy (pain) -peduncular tractotomy (Parkinsonian tremor) • Parasagittal approach to basal ganglia • 1950’s: Use of ganglioplegic drugs in Neurosx • Treatment of paraplegia in xyphoscoliosis

  7. Gerard Guiot: His Work • 1958: electro-physiological exploration of sub-cortical structures with stimulation of IC • 1961: microelectrode recording of cell units with Madame D. Albe-Fessard • Lacalization and delineation of various thalamic nuclei within 0.5 mm • Stereotactic functional techniques, stereotactic frame

  8. Gerard Guiot (left) and Jules Hardy (right)

  9. Gerard Guiot: His Work • 1960: First neurosx procedure under complete cardiac and circulatory arrest • 1962: Devised new ventriculoscope • 1963: Repair of malformations of the skull • Approaches to thoraco-cervical spine

  10. Gerard Guiot: His Work • Trans-sphenoidal approach • 1910: first procedure done • Harvey Cushing and Oscar Hirsch (ENT) • 1929: universally abandoned • Resurrected by Dott/Guiot • 1950’s: Guiot refined technique -radiofluoroscopy

  11. Norman Dott

  12. Gerard Guiot: His Publications • Over 300 scientific publications -“The Clinical Evolution of Spinal Cord Compression” • Inspired over 30 doctorate theses by others

  13. Gerard Guiot: His Influence • Clovis Vincent: “If you want to learn and do neurosurgery, stay with me and watch me!” • Master of neurosurgical teaching in France • Member of the American, Belgian, British, German, Italian, Luco-Spanish, Latino-American, Russian, Yugoslavian societies of Neurosurgery • July 1968: Charlie Wilson (trans-sphenoidals)

  14. Charlie Wilson

  15. Guiot Gerard: His Accolades • 1940: “Croix de Guerre avec Palme” and “Chevalier de la Legion d’Honneur a titre militaire” • 1956: Neurosurgeon of the “Hopitaux de Paris” • 1956: Chief of Neurosx service founded at “l’Hopital Foch” in Suresnes, a suburb of Paris • 1966: “Officier dans l’Ordre Natinal de Merite • 1968: Elected to the SNS • 1979: Neurosurgeon of the Year

  16. Gerard Guiot: His Passions • 400 major operations a year (1500 pit. adenomas) • Coronary occlusion in mid 1970’s • 1976 still did a little over 200 cases alone • Retired Jan 1, 1987 • Gardening, old farm village “Les Molieres” • Biblical studies • Music -Sacred music “is the most immaterial with which one can reach God” (Guiot)

  17. Things to Remember • Guiot, French Neurosurgeon (1912-1998) • Linked to Harvey Cushing by Vincent and Dott • Corneal Reflex • Subtemporal approach • Stereotactic functional techniques • Localization and delineation of thalamic nuclei • Trans-sphenoidal pituitary surgery • Musician by inheritance, Catholic by conviction, and Neurosurgeon by passion

  18. References • Neurosurgeon of the Year. Gerard Guiot. Surg Neurol. 1979 Jan;11(1):1-2 • http://www.gladwell.com/1999/1999_08_02_a_genius.htm • http://www.emergemd.com/bniq2/article.asp?article_ref_id=18-3-1 • http://www.societyns.org/society/bio.aspx?MemberID=14599 • http://skyline.linksky60.com/~skullman/papers/surgical_management_ pituitary_tumors.htm • http://www.neurosurgery.org/Cybermuseum/stereotactichall/images/Stereo_820g.JPG

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