Ljunggren Bengt; Bruyn, George; Kabin, Ho; Buchfelder, MichaelNeurosurgery Quarterly: September 1998 Article: PDF Only Abstract Summary Ludvig Puusepp (1875–1942) performed his first neurosurgical case in 1899, the same year he graduated from the St. Petersburg Military Medical Academy. His mentor was Vladimir Bekhterev, the founder of Russian neurology. Puusepp thought that the then-dismal state of brain surgery could be improved, and subsequently set out to prove his innovative ideas and established neurosurgery in St. Petersburg. There he became the world's first professor in neurosurgery in 1910 and worked on establishing neurosurgery as a subspecialty until 1920, when he left Russia for Estonia. © Williams & Wilkins 1998. All Rights Reserved.