This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Abstract
Objective: To analyze the pioneering research of Giuseppe Ferrario (1802–1870) on the epidemiology of apoplexy. To our knowledge, his work might have been the first to systematically investigate the epidemiology of cerebrovascular accidents, with the aim of shedding light on the underlying causes.
Methods: A detailed analysis of the essay “Statistics of sudden deaths, more particularly of deaths from apoplexy, in the city and neighborhood of Milan, from 1750 to 1834,” published by Ferrario in 1834.
Results: Ferrario conducted a large retrospective study on 13,360 people who died from apoplexy during an 84-year observational period. Analyzed data showed that these events were more frequent among men and during winter. Apoplexy was reported as mainly occurring at the age of 60; an increase in mortality was observed in young women aged between 21 and 30 years, probably due to an abuse of bloodletting. Ferrario introduced the term “hereditary apoplexy,” being one of the first to hypothesize hereditary components in cerebrovascular diseases. He also tried to investigate the role of social conditions in the etiopathogenesis of these events, analyzing marital and employment status and suggesting to his colleagues that cultural and economic factors should be further examined.
Conclusions: Giuseppe Ferrario may be considered as a pioneer of modern science and epidemiology and his work deserves consideration within the history of neurology and of neuroepidemiology.
- Received December 28, 2011.
- Accepted March 28, 2012.
- Copyright © 2012 by AAN Enterprises, Inc.
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
