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<p id="para1">William Richard Gowers (1845&#8211;1915) spent his career working at the National Hospital for the Relief and Cure for the Paralyzed and Epileptic at Queen Square, in London, United Kingdom, and at the nearby University College Hospital. His &#8220;Manual of the Diseases of the Nervous System&#8221; and many published lectures were based almost entirely on his own clinical observations meticulously recorded in shorthand. In this paper, we have focused on an analysis of his inpatient case records from 1878 to 1911 preserved in the archives at the National Hospital for Neurology and Neurosurgery, Queen Square. We reviewed all 42 volumes and analyzed 2,478 patients. Between 1897 and 1909, a mean of 129.7 cases per year were admitted to the hospital under Gowers' care. We grouped the diagnoses in 12 different categories. Epilepsy (16.5%), followed by spinal cord diseases (10.3%), cerebrovascular diseases (9.5%), and functional disorders (7.9%) were the most common diagnoses.</p><br><p>William Richard Gowers (1845&#8211;1915) passou sua vida profissional trabalhando no <italic>National Hospital for the Relief and Cure for the Paralyzed and Epileptic</italic> e no <italic>University College Hospital</italic> na Queen Square, em Londres, Reino Unido. Seu livro <italic>Manual of the Diseases of the Nervous System</italic>, assim como suas v&#225;rias aulas publicadas foram baseadas quase inteiramente em suas pr&#243;prias observa&#231;&#245;es cl&#237;nicas, anotadas meticulosamente em estenografia. Neste artigo, o objetivo foi a an&#225;lise das notas de casos cl&#237;nicos de pacientes hospitalizados entre 1878 e 1911 armazenadas nos arquivos do <italic>National Hospital for Neurology and Neurosurgery</italic>, na Queen Square. Foram revisados 42 volumes e analisados 2.478 pacientes. Entre 1897 e 1909, uma m&#233;dia de 129,7 casos foram admitidos ao ano no hospital sob supervis&#227;o de Gowers. Os diagn&#243;sticos foram agrupados em 12 categorias diferentes. Epilepsia (16,5%), seguida de doen&#231;as da medula espinhal (12,7%), doen&#231;as cerebrovasculares (9,5%) e transtornos funcionais (7,9%) foram os diagn&#243;sticos mais encontrados nas notas dos casos cl&#237;nicos.</p>