description William Macewen Overview
William Macewen (1848-1924) was a Scottish surgeon associated with the Glasgow Royal Infirmary and the University of Glasgow. Applying antiseptic methods and neurological localization, he performed early successful operations for intracranial tumors, abscesses, and traumatic lesions, helping establish brain surgery as a systematic clinical discipline. He also made important contributions to bone grafting, orthopedic surgery, and the surgical treatment of diseases affecting the mastoid and temporal bone.
insights Ranking position
William Macewen ranks #32 of 342 in the Surgeon ranking, behind Theodor Kocher, ahead of Paul Tessier.
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How did William Macewen locate brain lesions before modern scans?
Macewen used neurological signs to infer which part of the brain was affected. This clinical localization allowed him to plan operations decades before CT or MRI imaging existed.
What kinds of brain operations did William Macewen perform?
He performed early successful operations for intracranial abscesses, tumors, and traumatic lesions. His results combined anatomical localization with the antiseptic principles spreading through late 19th-century surgery.
What is Macewen's sign?
Macewen's sign is a resonant or cracked-pot sound elicited by percussion of the skull in certain conditions involving raised intracranial pressure or separated sutures. It became associated particularly with the assessment of hydrocephalus in children.
Where did William Macewen carry out his surgical work?
Macewen was closely associated with Glasgow Royal Infirmary and later the University of Glasgow. His career made Glasgow an important center in the early development of neurological and orthopedic surgery.
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