Sir Hugh Cairns KBE MD FRCS (1896–1952): Neurosurgeon

Abstract

The pioneers of neurosurgery in nineteenth century Britain, such as Macewen and Horsley, were hampered by insufficient knowledge of neurology and neurophysiology, inadequate anaesthesia, and an underdeveloped surgical technique. By the early years of this century, however, advances had taken place which were seized upon by Harvey Cushing, the American who became the father of modern neurological surgery. Three people were the pillars upon which British neurosurgery has stood: if Norman Dott was the best technician among them and Sir Geoffrey Jefferson the most genial and philosophical, it was Sir Hugh Cairns (Figure 1) who was the greatest teacher1. Cairns had an attractive personality combined with infinite drive and dedication. He allowed nothing to stand in his way if he felt that what he was doing was right. He was a man who inspired his colleagues with respect and devotion and who served his patients and the institutions with which he worked with incredible energy and determination.