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In Memoriam
Neuroepidemiology 2016;46:118–119
DOI: 10.1159/000443503
John F. Kurtzke, MD (1926–2015)
Ahmed Z. Obeidat
PGY-3 Resident, Department of Neurology and Rehabilitation Medicine, University of Cincinnati,
Cincinnati, Ohio., USA
When asked in-person about ‘the story of the EDSS?’
Dr. Kurtzke answered: ‘I was a resident, and we thought
we had cured MS’, ‘we thought isoniazid was the answer’,
‘we needed a standardized scale to compare treatment
groups, and therefore, the DSS was born’. Dr. Kurtzke re-
cently published an article that described the journey of
the EDSS, entitled: ‘On the origin of the EDSS’ [7].
Personally, I had the honor of meeting Dr. Kurtzke
twice in my life. The first time was during the American
Academy of Neurology Annual meeting, in the spring of
2015. There, we had corresponded via email and planned
a meeting to talk about the origin of the EDSS. I was
thrilled by his personality, humbleness, dedication and
love of neurology. He was always extremely passionate
about the EDSS and about how it was developed and had
progressed. That meeting was brief albeit very inspira-
tional. It was very exciting for a neurology resident to
have the opportunity to meet with one of the all-times gi-
ants of neurology. My second meeting with Dr. Kurtzke
was very recent; on November 10, 2015 at the National
Institute of Health (NIH) where he was invited as the
guest speaker for the Clinical Neuroscience Grand
Rounds. I happened to be there during a brief elective ro-
tation in neuroimmunology. That morning, he delivered
a prestigious, well-organized and astute scientific presen-
tation entitled: ‘Epidemiology and the Cause of Multiple
Sclerosis’. I was impressed by the amount of information
John F. Kurtzke is considered one of the pioneers in the
field of neuroepidemiology. His elite research molded our
understanding of the occurrence and distribution of neu-
rological illness. He was mostly known for his work on mul-
tiple sclerosis (MS). Dr. Kurtzke studied the ‘epidemics’ of
MS as well as the close association between the occurrence
of MS, war, immigration, and infections [1]. His pivotal
work provided insights into possible etiologies of the dis-
ease, prompted researchers to investigate different aspects
of the disease pathogenicity and most importantly unified
our understanding that MS is a global disease that can affect
any geographic area at any point in time. The latter concept
was proved to be true through his seminal studies of the
‘de-novo’ epidemic of MS in the Faroe Islands [2].
His work was not restricted to MS, and extended to
include the epidemiology of widespread neurological dis-
orders such as amyotrophic lateral sclerosis [3], myasthe-
nia gravis [4], Parkinson’s disease [5], and stroke [6]. In
addition to being a world-class neuroepidemiologist, he
was a great general neurologist and a great observer of
neurological signs. He is best known for the Kurtzke Dis-
ability Status Scale (DSS) that was developed by him in
1955 and was later modified to become the Expanded-
DSS (EDSS) in 1983 [7]. This sophisticated and detailed
neurological assessment scale was developed to provide a
useful clinical tool to be used in the assessment of disabil-
ity in MS research [7].
Received: December 18, 2015
Accepted: December 18, 2015
Published online: January 20, 2016
Ahmed Z. Obeidat, MD, PhD
Department of Neurology, University of Cincinnati
260 Stetson Street, Suite 2300
Cincinnati, OH 45267-0525 (USA)
E-Mail ahmed.obeidat @ uc.edu
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