Gerard Guiot (1912-1998)

Kamal R.M. Woods, MDDepartment 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

Had 4 daughters

Gerard Guiot: His Training

Medical School of Paris

1937: Graduated with Laurette distinction and Silver Medal

Neurosurgical training under Professor R. Garcin, Paris

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

Clovis Vincent Percival Bailey

Gerard Guiot: His Work1944-1956: 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

Gerard Guiot: His Work

Stereotactic functional techniques, stereotactic frame

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

Gerard Guiot (left) and Jules Hardy (right)

Gerard Guiot: His Work

1960: First neurosx procedure under complete cardiac and circulatory arrest

1963: Repair of malformations of the skull

Approaches to thoraco-cervical spine

1962: Devised new ventriculoscope

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

Norman Dott

Gerard Guiot: His Publications

Over 300 scientific publications -“The Clinical Evolution of Spinal Cord Compression”

Inspired over 30 doctorate theses by others

Gerard Guiot: His InfluenceClovis 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)

Charlie Wilson

Guiot Gerard: His Accolades1940: “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

Gerard Guiot: His Passions400 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)

Things to RememberGuiot, 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

ReferencesNeurosurgeon 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