Head Injuries in Homer's Iliad

World Neurosurg. 2020 Nov:143:33-37. doi: 10.1016/j.wneu.2020.07.037. Epub 2020 Jul 13.

Abstract

The Iliad is an epic poem chronicling the journey of Achilles in the Trojan War. The poem is one of the earliest sources of written literature in the Western canon. It is not a medical text, but the many and varied descriptions of injuries and their consequences mean that it is an important source for examining the earliest notions of anatomy and knowledge of the pathologies that result from trauma. Head injuries feature prominently in the text and represent written accounts of neurotrauma from nearly 3000 years ago. Previous work on the poem has suggested an awareness of neurological concepts such as nystagmus, syncope, and pupillary dilatation after trauma. In this paper, we identify and categorize all of the head injuries detailed in the text and examine these to identify concepts of functional neuroanatomy that are revealed by the descriptions. We identify and discuss 2 detailed descriptions of head injury, suggesting an awareness of decerebrate posturing after brainstem injury and cerebrospinal fluid leakage following a basal skull fracture.

Keywords: Achilles; Ancient Greece; Head injury; History of medicine; Homer; Iliad.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Brain Stem / injuries
  • Cerebrospinal Fluid Leak
  • Craniocerebral Trauma*
  • Decerebrate State
  • Head Injuries, Closed
  • Head Injuries, Penetrating
  • Head Protective Devices
  • History, Ancient
  • Humans
  • Language
  • Medicine in Literature / history*
  • Poetry as Topic*
  • Skull Fracture, Basilar