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The Tale of the Dueling Neurosurgeons: The History of the Human Brain as Revealed by True Stories of Trauma, Madness, and Recovery Hardcover – May 6, 2014

4.6 4.6 out of 5 stars 1,172 ratings

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The author of the bestseller The Disappearing Spoon reveals the secret inner workings of the brain through strange but true stories.

Early studies of the human brain used a simple method: wait for misfortune to strike -- strokes, seizures, infectious diseases, horrendous accidents -- and see how victims coped. In many cases their survival was miraculous, if puzzling. Observers were amazed by the transformations that took place when different parts of the brain were destroyed, altering victims' personalities. Parents suddenly couldn't recognize their own children. Pillars of the community became pathological liars. Some people couldn't speak but could still sing.

In
The Tale of the Dueling Neurosurgeons, Sam Kean travels through time with stories of neurological curiosities: phantom limbs, Siamese twin brains, viruses that eat patients' memories, blind people who see through their tongues. He weaves these narratives together with prose that makes the pages fly by, to create a story of discovery that reaches back to the 1500s and the high-profile jousting accident that inspired this book's title.

With the lucid, masterful explanations and razor-sharp wit his fans have come to expect, Kean explores the brain's secret passageways and recounts the forgotten tales of the ordinary people whose struggles, resilience, and deep humanity made neuroscience possible.
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Editorial Reviews

From Booklist

Science writer Kean explores the vagaries and inconsistencies of the human brain via diverting stories that chronicle medical science’s fits and starts. To say these are diverting is, however, an oversimplification since their subjects—primarily unfortunate individuals with brain injuries—command sympathy if not empathy. Yet Kean’s focus is on their contribution to the field of neuroscience along with, in too many instances, the misguided misinformation of the medical professionals who treated them. Take the case of France’s King Henry II. When he lost his right eye plus a bit of his brain to a poorly aimed jousting spear, his physicians’ limited knowledge of the brain’s physiognomy cost him his life. Then there’s President Garfield’s assassin, Charles Guiteau, whose undiagnosed bipolar mind was further addled by syphilis and who, naturally . . . thought himself fit for politics. To pick up one of these stories is to lose oneself in them. Where does the brain end and the mind begin? Curious readers will find both brain and mind fully revved up while engaging with this powerfully appealing and thought-provoking work of neuroscience history. --Donna Chavez

Review

Longlisted for the 2015 PEN/E.O. Wilson Literary Science Writing Award

One of Amazon's Best Books of the Year: Science

One of
The A.V. Club's Best Books of 2014

A Goodreads Choice Awards Finalist: Nonfiction

"This is Sam Kean's finest work yet, an entertaining and offbeat history of the brain populated with mad scientists, deranged criminals, geniuses, and wretched souls.
The Tale of the Dueling Neurosurgeons is one of those books that will have you following your friends around, reading passages out loud, until they snatch the book away from you and read it for themselves. Good luck getting it back."―Amy Stewart, author of The Drunken Botanist

"Put your Netflix queue on hold. Sam Kean's
The Tale of the Dueling Neurosurgeons will command your full attention from the first page. It's not just an engaging guide to mysteries of existence; it's compelling story-telling for anyone with a taste for the bizarre and metaphysical."―William Poundstone, author of Rock Breaks Scissors

"In tale after tale, best-selling author Kean provides a fascinating, and at times gloriously gory, look at how early efforts in neurosurgery were essentially a medical guessing game.... Entertaining and quotable, Kean's writing is sharp, and each individual story brings the history of neuroscience to life. Compulsively readable, wicked scientific fun."―
Kirkus

"Reading this collection is like touring a museum of neuroscience's most dramatic anomalies, each chapter taking us to a different place and time.... Kean's colloquial language and intimate voice bring all of this series of mini-histories to life -- all of which are sure to stimulate a wide range of brains."―
Publishers Weekly

"[Kean] proves an able guide, connecting each story with the science behind it, always with an air of enthusiastic curiosity."―
Kate Tuttle, Boston Globe

"[Kean's] strength lies in his storytelling, and in the humane combination of humor and compassion toward the strange life histories he pieces together.... Kean has a penchant for the kind of vivid description that makes one want to clutch one's head tenderly close."―
Margaret Quamme, Columbus Dispatch

"To pick up one of these stories is to lose oneself in them. Where does the brain end and the mind begin? Curious readers will find both brain and mind fully revved up while engaging with this powerfully appealing and thought-provoking work of neuroscience history."―
Donna Chavez, Booklist

"The author's skill in illuminating how the brain functions and malfunctions manifest themselves in people's lives makes for absorbing reading....These avowals ultimately raise weighty, compelling questions about the nature of identity and what it means to be human."―
The Wall Street Journal

"Strokes, seizures, accidents: if they don't kill, they can traumatize the brain so badly that an individual's personality can be significantly changed. But, explains
New York Times best-selling author of the terrific The Violinist's Thumb, early neuroscientists saw such traumas as an opportunity to study the brain's wondrous workings."―Library Journal, "Barbara's Picks"

"Beyond paying tribute to the scientific advances these patients made possible, Kean humanizes the patients themselves."―
Scientific American

"After tackling DNA and the periodic table in his previous books, Kean has moved on to the human brain, which he dissects via dozens of vivid anecdotes.... His subtle meta touches are a heady delight."―
Joe McGovern, Entertainment Weekly

"Sam Kean can spin a tale as well as any fiction writer....Kean is a rare writer who approaches science writing as a child would a playground at recess. It's a wide-open field full of possibilities, limited only by the surroundings and what our imaginations can do with them."―
PopMatters

"In the capable hands of science writer Sam Kean, stories of brain injuries shine just a bit brighter, illuminating not only the interesting characters delivering bedside diagnoses or lying on the examination table, but general principles of scientific discovery that are still relevant today....Kean breathes life into the patients as well as the physicians and scientists tasked with understanding the injuries."―
The Scientist

Kean is "science's premier storyteller, the man who regularly turns the history of science into sagas filled with adventure, mystery, fascinating people, and fun."―
The Washington Post

"Entrancing.... Sam Kean burrows into the workings of an organ once deemed as unknowable as the far reaches of the galaxy, and does so with boyish charm, accessible language, a prodigious amount of enthusiasm and the sobering realization that throughout history a catastrophic brain injury has ghoulishly been the neuroscientists best friend."―
James Macgowan, Toronto Star

"These stories are entertaining....But they're also illuminating, as Kean shows how each one advanced scientific knowledge."―
Washingtonian

"Kean delves into a scientific world before modern technology, and tells the stories of people who had sudden changes in personality, felt phantom limbs, pathologically lied, and experienced other mysteries traced back to the brain. He does so with humor and humanity, making the mind-boggling history of neuroscience a fun read."―
Nicole Dubowitz, DCist

"Crammed with curious anecdotes from neuroscience's gory past."―
Nature

"Mesmerizing.... With a razor-edged wit and intriguing narrative, the pages are easily devoured, all while Kean explores the deepest labyrinths of the brain."―
Mellinda Hensley, Los Angeles Magazine

"
Dueling Neurosurgeons will confirm Kean's already-solid reputation as a writer who can make anything understandable and interesting.[...] Although hugely entertaining (perhaps especially so in this era of vampire and zombie fascination), Kean's book contains amazingly clear details about our brains."―Winnipeg Free Press

"Engrossing, cleverly narrated."―
Simon Lewsen, The Globe and Mail

"Breezy, informal, entertaining stories that link what we now know of the nervous system to events and personalities of the past."―
James W. Kalat, American Psychological Association's PsycCRITIQUES

Product details

  • Publisher ‏ : ‎ Little, Brown and Company; First Edition (May 6, 2014)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 416 pages
  • ISBN-10 ‏ : ‎ 0316182346
  • ISBN-13 ‏ : ‎ 978-0316182348
  • Item Weight ‏ : ‎ 1.4 pounds
  • Dimensions ‏ : ‎ 6 x 1.06 x 9.25 inches
  • Customer Reviews:
    4.6 4.6 out of 5 stars 1,172 ratings

About the author

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Sam Kean
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Official bio: Sam Kean spent years collecting mercury from broken thermometers as a kid, and now he's a writer in Washington, D.C. His new book is The Tale of the Dueling Neurosurgeons. His first two books, The Disappearing Spoon and The Violinist's Thumb were national bestsellers, and both were named an Amazon "Top 5" science books of the year. The Disappearing Spoon was nominated by the Royal Society for one of the top science books of 2010, while The Violinist's Thumb was a finalist for PEN's literary science writing award. His work has also been featured on "Radiolab" and NPR's "All Things Considered," among other shows. You can follow him via Twitter @sam_kean, and read excerpts at http://www.samkean.com.

(un)Official bio: Sam Kean gets called Sean at least once a month. He grew up in South Dakota, which means more to him than it probably should. He's a fast reader but a very slow eater. He went to college in Minnesota and studied physics and English. At night, he sometimes comes down with something called "sleep paralysis," which is the opposite of sleepwalking. Right now, he lives in Washington, D.C., where he earned a master's degree in library science that he will probably never use. He feels very strongly that open-faced sandwiches are superior to regular ones.

Customer reviews

4.6 out of 5 stars
4.6 out of 5
1,172 global ratings

Top reviews from the United States

Reviewed in the United States on December 29, 2014
The Tale of the Dueling Neurosurgeons: The History of the Human Brain as Revealed by True Stories of Trauma, Madness and Recovery by Sam Kean

"The Tale of the Dueling Neurosurgeons" is an excellent collection of stories in neuroscience. Best-selling author and gifted science writer, Sam Kean, provides readers with a real gem. Kean's great eye for captivating stories about the brain and his expertise in retelling these stories end up helping the readers gain an understanding of how the brain works. This fascinating 377-page book is broken out into the following five parts: Part I. Gross Anatomy; Part II. Cells, Senses; Circuits Part III. Body and Brain; Part IV. Beliefs and Delusions; and Part V. Consciousness.

Positives:
1. Science writing at its best. Kean is climbing the echelon of premier popular science authors.
2. Neuroscience is one of my favorite topics and thrilled that a gifted storyteller handled this book.
3. Great format and approach. Each chapter covers an intriguing story about how the brain works yet it flows beautifully as a whole.
4. Plenty of diagrams of parts of the brain and photos that complement this wonderful narrative.
5. Kean excels at keeping it real. He doesn't oversell what we know and keeps the science well grounded in reality.
6. Wonderful gift of narration that includes a well weaved story based on history and good science.
7. Once again, the impact of religion on science rears its head. "In the early 1200s, the Catholic church had declared that no proper Christians, including physicians, could shed blood; physicians therefore looked down upon surgeons as butchers."
8. Love how theories of neuroscience are introduced some are ultimately debunked and others have staying impact. "These findings led Cajal to propose the "neuron doctrine," one of the most important discoveries ever in neuroscience. In brief, Cajal's neurons were not continuous, but had tiny gaps between them. And they transmitted information in one direction only: from dendrite to cell body to axon."
9. The analysis of famous assassins' brains that lead to interesting discoveries.
10. Sometimes asking the right questions are as important as the answers. "Sorting out cause and effect is tricky with brain chemistry: does depression cause changes in brain chemicals, or do changes in brain chemicals cause depression? The street probably runs both ways. But the balance of evidence does suggest that loneliness, isolation, and a sense of helplessness can all deplete neurotransmitters--can poison the soup and sap vital ingredients."
11. Interesting look at how neurons work. "Overall, just as a wagon wheel will carve a rut into the road after repeated journeys, repeated neuron firings will carve ruts into the brain that make signals much more likely to follow some neural tracks than others."
12. How vision works. "In fact, our vision is so biased toward movement that we don't technically see stationary objects at all. To see something stationary, our brains have to scribble our eyes very subtly over its surface. Experiments have even proved that if you artificially stabilize an image on the retina with a combination of special contact lenses and microelectronics, the image will vanish."
13. A look at how the brain maps the body.
14. An interesting look at a number of interesting diseases involving the brain. "They proposed that kuru, scrapie, and Creutzfeldt-Jakob--which all cause "spongiform" brain damage and can all lie dormant for long periods before roaring awake--were caused by a new class of microbes, which they dubbed `slow viruses.'"
15. Excellent examples of specific damages to the brain and its impact. "But around age ten she began suffering from Urbach-Wiethe disease, a rare disorder that petrifies and kills amygdala cells. Within a few years she had two "black holes" where her amygdalae should have been. She hasn't felt a lick of fear since."
16. Many revelations in this book, here is one of my favorites: "Temporal lobe lesions can flip people's sexual orientations from gay to straight (or vice versa), or redirect their sexual appetites toward inappropriate things: common side effects of Klüver-Bucy include zoophilia, coprophilia, pedophilia, and -philias so idiosyncratic they don't have names."
17. A look at what happens when brain processes go awry. "Some delusions run so deep that they fray the very fabric of the victim's universe. With so-called Alice in Wonderland syndrome--a side effect of migraines or seizures--space and time get warped in unsettling ways."
18. The difference between Broca and Wernicke's area. "Generally speaking, a broken Broca's area knocks out speech production, while a wrecked Wernicke's area impairs speech comprehension."
19. By far the best retelling of the over told story of Phineas Gage (it's practically in every book of popular neuroscience). He debunks some myths pertaining to this story, which I found to be quite refreshing.
20. Works cited and so much more...

Negatives:
1. Very little not to like about this book. I would have added a timeline or a table of the greatest contributors of neuroscience as a nice additional bonus.
2. Kean stays away from controversial issues. There is very little on intelligence and as I recall nothing on gender differences. He touches upon social justice with regards to crime and punishment but I sense he holds back.
3. I loved the retelling of Phineas Gage's story but I felt Kean could have done better with the topic of consciousness.

In summary, what a fun way to learn about how the brain works; this is a beautifully written and well-researched book that is a joy to read. Fascinating stories about ordinary people who went through extraordinary circumstances and Kean retells their stories with mastery. A high recommendation! Get this book.

Further suggestions: "
The Disappearing Spoon " and " The Violinist's Thumb " by the same author, " The Mind's Eye " and " Hallucinations " by Oliver Sacks", " The Future of the Mind: The Scientific Quest to Understand, Enhance, and Empower the Mind " by Michio Kaku, "Braintrust" by Patricia S. Churchland, " The Blank Slate: The Modern Denial of Human Nature " by Steven Pinker, " Why People Believe Weird Things: Pseudoscience, Superstition, and Other Confusions of Our Time " and " The Believing Brain " by Michael Shermer, " Who's in Charge? Free Will and the Science of the Brain " by Michael S. Gazzaniga, " Subliminal: How Your Unconscious Mind Rules Your Behavior " by Leonard Mlodinow, "The Tell-Tale Brain: A Neuroscientist's Quest for What Makes Us Human" by V.S. Ramachandran, "Incognito" by David Eagleman, and "Mistakes Were Made (But Not by Me)" by Carol Tavris.
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Reviewed in the United States on July 24, 2021
I read The Tale of the Dueling Neurosurgeons: The History of The Human Brain as Revealed by True Stories of Trauma, Madness, and Recovery by Sam Kean with great interest.

The title of this book is long and cumbersome, and I didn't find it appealing -- initially. However, it's an accurate description of the book.

The book covers key figures in the "history of the human brain," particularly "neurosurgeons." For instance, it talks about how neurosurgeon Wilder Penfield discovered that the brain could be stimulated by electrical current and how the great neurosurgeon Harvey Cushing performed pioneering work on the pituitary gland. It also discusses work by many other non-surgical researchers, such as Roger Sperry's work on lateralized brains and Prusiner and Gajdusek's work on kuru and protein misfolding diseases.

At first, I found the word "dueling" in the title to be cryptic, but it turns out to nicely summarize how the book presents each of the key figures as addressing a debate in neuroscience. These debates included whether nerve impulses were transmitted through Cajal's neurons or through a non-neural alternative (propagated by Golgi), whether the mode of transmission is electrical or chemical (the soup vs. spark debate), and whether we have just one or multiple types of memory (addressed by Brenda Milner in relation to the famous patient, H.M.). One of the debates I found particularly interesting was Broca and Wernicke's, whether brain functions such as language were localized to specific brain regions.

The final part of the title, "the true stories of trauma, madness, and recovery," illustrates how the book is also about the patients who have given their life to provide information about the brain. These include H.M., and also W.J. (who was instrumental in understanding the corpus callosum), Mary Rafferty (who died demonstrating that an electrical shock could stimulate various brain regions) and the conjoined brain twins, Tatiana and Krista (who have illuminated much about the concept of consciousness and the self).

Altogether, I thought this was an entertaining work that taught me a lot about the brain. Its mode of instruction in discussing individual people throughout history and the specific conflicts that they engaged in was effective in getting across key scientific ideas.
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Reviewed in the United States on July 14, 2014
An enjoyable read , combining a clear history of neuroscience, supporting case histories , anatomy of the brain and its functions, with some biochemistry/ physiology. A tantalizing look at what produces consciousness, but no explanation of how memory is stored in the brain's neurons or suggestion of how the "data" is collected. Is it in a codified form , biochemically or electromagnetically? How might this all be related to quantum mechanics , rather than the Newtonian reasoning that Sam has stuck with? Well done Sam, and I must say that I ordered your book after hearing your interview with Kim Hill on NZ Radio. I also have enjoyed your book the Violinist's Thumb.
What encouraged me to read this book , though, was the first story involving Versalius and Pare, and I had never put the two together prior to that. Thanks for that.
Ross Douglas Blair ED MB ChB FRACS FACS
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Top reviews from other countries

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Amazon Customer
5.0 out of 5 stars A lovely read
Reviewed in India on April 25, 2021
I loved loved looooooooved the authors dark sense of humour.
Very well researched.
Very well written.
It's for the neurosurgeons.
It's for the layman.
It is a lovely read.
Yitzchok Ahisar
5.0 out of 5 stars You won’t stop reading this super interesting book!
Reviewed in Canada on January 7, 2020
Very well researched, and written in an easy but thorough language. Great descriptions of advanced neuroscience with wonderful and colourful stories. The advanced concepts are presented sufficiently in lay language. Very interesting book that goes into highly relevant issues in neuroscience that matter today. I really enjoyed reading this book!
Rogerio Cukierman
5.0 out of 5 stars Muito bom !!
Reviewed in Brazil on June 4, 2017
Este livro além de matar nossa curiosidade sobre as grandes descobertas na neurologia e neurocirurgia, traz fatos históricos que nos ajudam a entender melhor a evolução humana.
Amazon Customer
5.0 out of 5 stars Muy divertido
Reviewed in Spain on July 30, 2019
Aún no lo he terminado, pero estoy disfrutando mucho de su lectura de verano y de los casos clínicos reales que cuenta. Sigue a grandes autores como Prof. Swaab y su capítulo "Demasqué or Religiouns" quien comenzó antes esta línea novedosa exponiendo casos de personas ilustres de la historia con posibles explicaciones Neurológica. Ya era hora de conocer nuevos y apasionantes pacientes de Neuropsicología, además de Phineas Cage y H. M. La profundidad en la explicación del autor Sam Kean equivale al nivel Universitario para explicarlo en clases a los alumnos españoles de Psicología, correctamente ajustado en el idioma. Gracias !!
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Amazon Customer
5.0 out of 5 stars Muy divertido
Reviewed in Spain on July 30, 2019
Aún no lo he terminado, pero estoy disfrutando mucho de su lectura de verano y de los casos clínicos reales que cuenta. Sigue a grandes autores como Prof. Swaab y su capítulo "Demasqué or Religiouns" quien comenzó antes esta línea novedosa exponiendo casos de personas ilustres de la historia con posibles explicaciones Neurológica. Ya era hora de conocer nuevos y apasionantes pacientes de Neuropsicología, además de Phineas Cage y H. M. La profundidad en la explicación del autor Sam Kean equivale al nivel Universitario para explicarlo en clases a los alumnos españoles de Psicología, correctamente ajustado en el idioma. Gracias !!
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5.0 out of 5 stars Plus the writing style is easily accessible, not too gimmicky
Reviewed in the United Kingdom on June 12, 2018
As an avid fan of non-fiction science books, I often read books which just repeat the same facts as I've read previously, and feel frustrated that I've not really learned anything new. Not the case with this book! Every page had information that I'd never heard before, and the whole book taught me more about the subject than any other book I've read on this topic. Plus the writing style is easily accessible, not too gimmicky, and was very enjoyable to read! I immediately ordered some other books written by Sam Kean and was also very happy with those.
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