1. History of Neurology West Coast Neurology: The 3 Bob’s of UCSF
Robert Wartenberg MD
Robert Fishman MD
Robert B Layzer MD
Richard J. Barohn, MD
Gertrude and Dewey Ziegler Professor of Neurology
The University of Kansas Medical Center

2. Robert Wartenberg, MD (1887-1956)
Born in Garten (German border of Russia)
Schooling: Gymnasium in Stuttgart
Medical studies: Univ of Kiel, Munich, Freiburg, and Rostock (grad 1919)
Mentors: Hocke (Freiburg), Cassier (Berlin), Nonne (Hamburg), Foerster (Breslau)
1925: Fellow Rockefeller Foundation- England/France/USA (Boston under Cushing)
1928: Privatdozent in Freiburg
1933: Head Neurology Clinic Freiburg
1935: Fled Nazi Germany to USA & UCSF
rose through academic ranks
1952: UCSF, Clinical Professor of Neurology
1954: UCSF, Professor Emeritus

3. Robert Wartenberg, MD (1887-1956)
Link to golden age of descriptive neurology in Europe
Wartenberg’s Eponymy’s
Disseminated sensory neuropathy of Wartenberg
Wartenberg syndrome or cheiralgia paraesthetica
radial sensory neuropathy
Sign of Wartenberg – abduction of 5th finger in ulnar nerve palsy
Phenomenon of Wartenberg – deviation of jaw of opposite side when touch cornea-also cornea mandibular reflex
Roulette Wartenberg - sensory testing device

4. Robert Wartenberg, MD (1887-1956)
Books:
Examinations of Reflexes and Diagnostic Test of Neurology (1945)
Diagnostic Tests of Neurology (1953)
Neuritis, Sensory Neuritis, Neuralgia (1958)

5. Wartenberg’s Sign Associated Movement of the Thumb
Patients palm up on examiners hand
Flex fingers against examiners fingers
Normally – no thumb movement
Pyramidal lesion – thumb abduct, flex, cross palm in opposition
Variant - hook top of patient’s index finger against examiners

6. Wartenberg Wheel
A Wartenberg Wheel, also called a Wartenberg Pinwheel or Wartenberg Neurowheel, is a medical device for neurological use. Robert Wartenberg designed the wheel to test nerve reactions (sensitivity) as it rolled systematically across the skin.

7. Robert Fishman, MD (1924-2012) Born in NYC College: Columbia, age 16
Medical school: University of Pennsylvania
Accelerated US Army program in WWII
Graduated in 1947, age 22
Internship: Yale then MGH
Residency: Columbia, Neurology
Co-residents: D. Ziegler & L. Rowland
Mentor/chair: H Houston Merritt
Korean War - Walter Reed Hospital
Chief Resident & Faculty, Columbia
Studied blood-brain barrier & CSF physiology and biochemistry
1966: UCSF-Chair Neuro until 1992
President of AAN, AUPN, ANA, ABPN
: Editor of Annals of Neurology

8. Lewis “Bud” Rowland, Dewey Ziegler & Robert Fishman, 2003.
Robert Fishman & Dewey Ziegler

9. Robert Fishman, MD (1924-2012) Books:
Cerebrospinal Fluid in Diseases of the Nervous System (1980 1ST ed., 2nd ed. 1992)
Was continuation of H. Houston Merritt’s book - Cerebrospinal Fluid (1938)
Fishman, R. 1992
Merritt, HH. 1938

10. Robert B. Layzer, MD (1931-P) Faculty: Columbia Born in Cleveland, OH
College: Harvard
Studied French, History, Literature, and acted in Harvard Theater Group
Won the Garrison Poetry Prize
Medical School: Harvard
Residency: Columbia, Neurology
Fellowship: Columbia, Neuromuscular Disease
Fellow under Lewis Rowland
Faculty: Columbia
1967: moved to UCSF Neurology dept. after Dr. Fishman
Neuromuscular faculty there his whole career
Publications on Periodic Paralysis, Muscle Energy Metabolism, & Motor Unit Hyperactivity State
Book: Neuromuscular Manifestation of System Disease (1985 – last edition)
Robert B. Layzer, MD (1931-P)