Leopold Von Schrötter
Leopold Schrötter Ritter von Kristelli (1837-1908) an Austrian internal physician and laryngologist
His primary interest was in laryngology and founded the first
laryngological Clinic of the world.
He also contributed to significant research cardiovascular medicine and tuberculosis. In 1883 he published his first ideas for a hospital-based climatologic treatment of pulmonary consumption, the establishment of separate sanatoriums for chest patients, and publishing essays on “Das kranke Krankenhaus, Skizzen über die sanitären Verhältnisse Wiens”
He is known for his description of effort thrombosis (upper limb DVT) eponymously termed Paget-Shroetter syndrome in 1884.
Biography
- Born on February 5, 1837
- 1861 – Graduated MD, University of Vienna
- 1863-1869 Assistant to Joseph Škoda (1805–1881), Vienna school of medicine
- 1875 – Professor of Diseases of the Larynx and Chest, University of Vienna
- 1890 – Professor of Internal Medicine, University of Vienna
- Died on April 22, 1908, died hours after addressing the Laryngo-Rhinological congress as Honorary President
Medical Eponyms
Paget-Schroetter Syndrome
Axillo-subclavian vein thrombosis due to endothelial trauma, as a result of repetitive activity of the upper limbs. [Paget 1858; 1875 and Schrötter 1884. Attribution by ESR Hughes 1948]
1884 von Schrötter postulated that the upper limb swelling in otherwise fit and healthy individuals resulted from direct damage to the vein caused by stretching that occurred with muscular strain of exercise.
Original
English
…es handelt sich hier um eine Thrombose, welche in einer bisher gesunden Vene durch mechanische Reize, namentlich durch ungewöhnliche Bewegung oder Druckverhältnisse, hervorgerufen wird. Solche Fälle beobachtet man nicht selten bei kräftigen Individuen, welche durch Beruf oder Sport an eine besonders starke Inanspruchnahme der oberen Extremitäten gewöhnt sind. Die traumatische Einwirkung verursacht eine Schädigung des Endothels und führt in der Folge zur Koagulation des Blutes und zur Thrombenbildung, meistens in der Vena subclavia oder axillaris
…this concerns a thrombosis that develops in an otherwise healthy vein, triggered by mechanical stimuli — particularly through unusual movement or pressure conditions. Such cases are not infrequently seen in robust individuals whose occupations or athletic pursuits involve heavy use of the upper limbs. The traumatic impact causes endothelial injury and subsequently leads to blood coagulation and thrombus formation, most often in the subclavian or axillary vein
and in a collated series of articles in 1891
Original
English
Einen seltenen Fall unzweifelhafter Thrombose der Vena subclavia dextra will ich hier mitteilen… schwoll im Jahre 1884 ohne bekannte Ursache, nach seiner Meinung vielleicht durch eine Zerrung bei seiner damaligen stärkeren Anstrengung…
A rare case of indisputable thrombosis of the right subclavian vein I wish to report here… [his arm] swelled in 1884 without known cause, perhaps — in his opinion — due to a strain from increased exertion at that time.
Controversies
- Alternative names: Schroetter, Schrotter, Schrötter
Major Publications
- Schrötter L. Beitrag zur Behandlung der Larynx-Stenosen. Wien: Braumuller. 1876
- Schrötter L. Erkrankungen der Gefässe In: Specielle Pathologie und Therapie v.15:2 (1884) Prof Dr H. Nothnagel: Wien, Hölder [Paget-Schrötter Syndrome]
- Schrötter L. Erkrankungen der Gefässe, in: Nothnagel H. (ed) Specielle Pathologie und Therapie, Vol. 15:2. Hölder, Wien, 1901; 15:2: 533–534. (re-print)
- Schrötter L. Vorlesungen über die Krankheiten der Kehlkopfes. 1893 Wien, Braumüller
- Schrötter L. Vorlesungen über die Krankheiten der Luftröhre. 1896 Wien, Braumüller
- Schrötter L. Hygiene of the lung in health and disease. London 1907
- Schrötter L. Diseases of the Pericardium. In: Nothnagel’s encyclopedia of practical medicine. 1908:767-827
References
Biography
- Obituary: Leopold Von Schrötter, Ritter von Kristelli. Br Med J. 1908 May 2; 1(2470): 1085.
- Pagel. Schrötter, Leopold, Ritter von Kristelli. 1901
Eponymous terms
- Hughes ESR. Venous obstruction in the upper extremity (Paget- Schroetter’s syndrome). Br J Surg. 1948;36:155-63.
- Illig KA, Doyle AJ. A comprehensive review of Paget-Schroetter syndrome. J Vasc Surg. 2010 Jun;51(6):1538-47 [PMID 20304578]
- Mall NA, Van Thiel GS, Heard WM, Paletta GA, Bush-Joseph C, Bach BR Jr. Paget-schroetter syndrome: a review of effort thrombosis of the upper extremity from a sports medicine perspective. Sports Health. 2013 Jul;5(4):353-6. [PMC3899898]
- Rippey J. Ultrasound Case 085. LITFL
Eponym
the person behind the name
