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DOI: 10.4103/ajns.AJNS_190_17
Obituary Shih Chun-Jen: Dedicated life for advancement of neurosurgical specialty
Sir,
Dr. Shih Chun-Jen M.D.; IFAANS, (2 December 1923–18 June 2017), was internationally renowned Taiwanese neurosurgeon, mentor of a generation of neurosurgeons across the continents, former head of the National Health Administration, great teacher, acclaimed academician, politician and Minister of the Health department, Taiwan.
Shih was born in 1923 at Taichung, Taiwan, Empire of Japan. He received early education during the Japanese colonial period. He studied medicine at National Taiwan University and after completing medical graduation in the year 1947.
In second phase of professional career, Shih started working for the National Defense Medical Center and continued to worke for 38 years. Dr. Shih went to work with Dr. Shi-Kai Wang and then, travelled to Montreal to continue his studies in neurosurgery under Dr. Penfield at the Montreal Neurological Institute. Shih completed 2-year (1956–1958) residency at the Montreal Neurological Institute in Canada. After completing his studies for 2 years, he returned to the National Defense Medical College, became a pioneering neurosurgeon.
In 1958, Dr. Shih advocated a cancer registry by implementing his experience at the Montreal Neurological Institute of McGill University in Canada and promptly started a cancer registry among three Taiwanese health-care systems: National Taiwan University Hospital, Tri-Service General Hospital, and the Veterans' General Hospitals. He was the first neurosurgeon in Taiwan to regularly perform brain tumor surgery, while at the same time conducting research.
Prof. Shih was a great teacher, many of his student hold chair of Neurosurgical center across Taiwan including, Dr. Albert L. Y. Shen, who became the first chair of the neurosurgery department at the Taipei Veteran's General Hospital, which was the first department to include neurosurgical subspecialty programs.
Dr. Shih was cofounder of the Taiwan Neurological Society in 1977, which grown expeditiously and currently have around 600 board-certified neurosurgeons as member serving 23.5 million Taiwan population.
Shih served as the head of the general surgery department at Tri-Service General Hospital, which was the dedicated teaching hospital of the National Defense Medical Center during 1975–1984.
In the third phase of professional and academic career, Shih left Tri-Service general hospital and the National defense medical center to lead the Department of Health. He headed the Taiwan National Health Administration also popularly later on known as Department of Health during 1986–1990 under presidents Chiang Ching-kuo and Lee Teng-hui. Prof. Shih facilitated the revision of the Physicians Act and helped push through the Medical Care Act and the Human Organ Transplant Ordinance. Shih's memoir was published in Taipei in 2009. Dr. Shih created multiple landmark medical legislations and improved Taiwan's health-care system. In particular, Dr. Shih established the medical professional criteria for determining brain death and created the Human Organ Transplant Ordinance.
He started cranial surgery for traumatic brain injury, neoplasm, aneurysm and vascular malformation, cervical disc herniation, and meningomyelocele, spinal surgery. He remained actively involved in progress of neurosurgery in patient care, operative procedure, and advancement of research. He was active with World Federation of Neurosurgical Society, Asian-Australasian society of Neurological surgeon, Asian surgical Association, and closely associated with many international neurosurgical Journal and published about 100 publications in international neurosurgical reputed Journals.
His areas of interest included traumatic brain injury, hyperhidrosis, heat stroke, Moyamoya disease, epidemiology of head injury in Taiwan, an animal study on the potential benefit of cold stress in the management of brain edema and intracranial hypertension, neurogenic pulmonary edema, experimental study of intracerbral and intraventricular hematoma in rabbit, myelography with iopamidol, and microneurorrhapy in peripheral nerve injury.
Shih had thousands of happy patients treated by him and many neurosurgeons trained under him. Shih died of a heart attack at a hospital in Taipei at the 93 years of age.
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Conflict of Interest
There are no conflicts of interest.
Financial support and sponsorship
Nil.
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References
- 1 Boström A, von Lehe M, Hartmann W, Pietsch T, Feuss M, Boström JP, et al. Surgery for spinal cord ependymomas: Outcome and prognostic factors. Neurosurgery 2011;68:302-8.
- 2 Wu L, Yang T, Deng X, Yang C, Zhao L, Fang J, et al. Surgical outcomes in spinal cord subependymomas: An institutional experience. J Neurooncol 2014;116:99-106.
- 3 Krishnan SS, Panigrahi M, Pendyala S, Rao SI, Varma DR. Cervical subependymoma: A rare case report with possible histogenesis. J Neurosci Rural Pract 2012;3:366-9.
- 4 Zenmyo M, Ishido Y, Terahara M, Yamamoto T, Tanimoto A, Komiya S, et al. Intramedullary subependymoma of the cervical spinal cord: A case report with immunohistochemical study. Int J Neurosci 2010;120:676-9.
- 5 Pluchino F, Lodrini S, Lasio G, Allegranza A. Complete removal of holocord subependymoma. Case report. Acta Neurochir (Wien) 1984;73:243-50.
- 6 Wiestler OD, Schiffer D. Subependymoma. In: Kleihues P, Cavenee WK, editors. Pathology and Genetics of Tumours of the Nervous System. Lyon, France: IARC; 2000. p. 80-1.
- 7 Scheithauer BW. Symptomatic subependymoma. Report of 21 cases with review of the literature. J Neurosurg 1978;49:689-96.
- 8 Jabri HE, Dababo MA, Alkhani AM. Subependymoma of the spine. Neurosciences (Riyadh) 2010;15:126-8.
- 9 Fu YS, Chen AT, Kay S, Young H. Is subependymoma (subependymal glomerate astrocytoma) an astrocytoma or ependymoma? A comparative ultrastructural and tissue culture study. Cancer 1974;34:1992-2008.
- 10 Moss TH. Observations on the nature of subependymoma: An electron microscopic study. Neuropathol Appl Neurobiol 1984;10:63-75.
- 11 Nagashima M, Isu T, Iwasaki Y, Miyamachi K, Akino M, Abe H, et al. Intramedullary subependymoma of the cervical spinal cord. Case report. Neurol Med Chir (Tokyo) 1988;28:303-8.
- 12 Ho KL. Concurrence of subependymoma and heterotopic leptomeningeal neuroglial tissue. Arch Pathol Lab Med 1983;107:136-40.
- 13 Toi H, Ogawa Y, Kinoshita K, Hirai S, Takai H, Hara K, et al. Bamboo leaf sign as a sensitive magnetic resonance imaging finding in spinal subependymoma: Case report and literature review. Case Rep Neurol Med 2016;2016:9108641.
- 14 Dario A, Fachinetti P, Cerati M, Dorizzi A. Subependymoma of the spinal cord: Case report and review of the literature. J Clin Neurosci 2001;8:48-50.
- 15 Wu Z, Iwanami A, Yasuda A, Mikami S, Toyama Y, Nakamura M. Intramedullary cervicothoracic subependymoma: Report of three cases and review of the literature. J Orthop Sci 2015;20:927-34.
Address for correspondence
Publication History
Article published online:
09 September 2022
© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Boström A, von Lehe M, Hartmann W, Pietsch T, Feuss M, Boström JP, et al. Surgery for spinal cord ependymomas: Outcome and prognostic factors. Neurosurgery 2011;68:302-8.
- 2 Wu L, Yang T, Deng X, Yang C, Zhao L, Fang J, et al. Surgical outcomes in spinal cord subependymomas: An institutional experience. J Neurooncol 2014;116:99-106.
- 3 Krishnan SS, Panigrahi M, Pendyala S, Rao SI, Varma DR. Cervical subependymoma: A rare case report with possible histogenesis. J Neurosci Rural Pract 2012;3:366-9.
- 4 Zenmyo M, Ishido Y, Terahara M, Yamamoto T, Tanimoto A, Komiya S, et al. Intramedullary subependymoma of the cervical spinal cord: A case report with immunohistochemical study. Int J Neurosci 2010;120:676-9.
- 5 Pluchino F, Lodrini S, Lasio G, Allegranza A. Complete removal of holocord subependymoma. Case report. Acta Neurochir (Wien) 1984;73:243-50.
- 6 Wiestler OD, Schiffer D. Subependymoma. In: Kleihues P, Cavenee WK, editors. Pathology and Genetics of Tumours of the Nervous System. Lyon, France: IARC; 2000. p. 80-1.
- 7 Scheithauer BW. Symptomatic subependymoma. Report of 21 cases with review of the literature. J Neurosurg 1978;49:689-96.
- 8 Jabri HE, Dababo MA, Alkhani AM. Subependymoma of the spine. Neurosciences (Riyadh) 2010;15:126-8.
- 9 Fu YS, Chen AT, Kay S, Young H. Is subependymoma (subependymal glomerate astrocytoma) an astrocytoma or ependymoma? A comparative ultrastructural and tissue culture study. Cancer 1974;34:1992-2008.
- 10 Moss TH. Observations on the nature of subependymoma: An electron microscopic study. Neuropathol Appl Neurobiol 1984;10:63-75.
- 11 Nagashima M, Isu T, Iwasaki Y, Miyamachi K, Akino M, Abe H, et al. Intramedullary subependymoma of the cervical spinal cord. Case report. Neurol Med Chir (Tokyo) 1988;28:303-8.
- 12 Ho KL. Concurrence of subependymoma and heterotopic leptomeningeal neuroglial tissue. Arch Pathol Lab Med 1983;107:136-40.
- 13 Toi H, Ogawa Y, Kinoshita K, Hirai S, Takai H, Hara K, et al. Bamboo leaf sign as a sensitive magnetic resonance imaging finding in spinal subependymoma: Case report and literature review. Case Rep Neurol Med 2016;2016:9108641.
- 14 Dario A, Fachinetti P, Cerati M, Dorizzi A. Subependymoma of the spinal cord: Case report and review of the literature. J Clin Neurosci 2001;8:48-50.
- 15 Wu Z, Iwanami A, Yasuda A, Mikami S, Toyama Y, Nakamura M. Intramedullary cervicothoracic subependymoma: Report of three cases and review of the literature. J Orthop Sci 2015;20:927-34.