This groundbreaking book delves into the origins and evolution of caring for the neurocritically ill. From the early pioneers like Galen and Charcot to the modern advancements in understanding acute brain injury, this narrative weaves together historical insights and clinical observations. Explore the unique challenges and breakthroughs that shaped acute neurology into the specialized field it is today. Through a meticulous exploration of primary sources and historical findings, this book sheds light on the trajectory of thought and the continuity of development in acute neurosciences. Aimed at neurointensivists, neurosurgeons, and clinicians across various specialties, Fixed and Dilated offers a fresh perspective on the past while connecting it to the present and future of neurocritical care. Uncover the untold stories that have shaped our understanding of acute neurological conditions.

‘In rich, flowing prose, Eelco Wijdicks explores the historical background of acute neurology and how affected patients are – or should be – managed by specialists in critical care. This scholarly, focused, and vibrant history leads to a deeper understanding of modern neurologic practice and should interest not only neuro-intensivists but all neurologists and clinical neuroscientists. I found it difficult to put the book down as it put into perspective the work in the past of one eminent person after another. Fresh insights into provocative issues and controversies, including ethical issues, are aired. I thoroughly enjoyed this book, which makes a compelling case for studying the evolution of concepts and practices that are now taken for granted.’

Michael J. Aminoff - MD, DSc, Distinguished Professor Emeritus, Department of Neurology, School of Medicine, University of California, San Francisco

‘Fixed and Dilated is an authoritative book. It offers a compelling exploration of neurocritical care history, spanning centuries of dedicated work that helps us understand how the field reached its present state in the management of acute brain injury. What makes it unique is the way it weaves together meticulous historical research with genuine clinical wisdom, richly illustrated with many figures drawn directly from original sources. This gives readers a real sense of how the field evolved and why it matters. It is highly recommended for anyone in neurology, neurosurgery, or neurocritical care.’

Michael N. Diringer - MD, Professor of Neurology, Neurosurgery, and Anesthesia, Washington University

‘Fixed and Dilated by Eelco Wijdicks is a one-of-a-kind book. Part history, part textbook, and part personal reflection on the field of neurological intensive care, in which he has been a major player. By weaving together threads that have not yet been explored in such depth, he has written a book that stands on its own as fascinating reading that, while honoring the past, is instructive for the future of neurology, neurosurgery, and critical care as well. Meticulously researched and nicely illustrated, it is one of a kind.’

Allan H. Ropper - MD, Professor Emeritus of Neurology, Harvard Medical School