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Diseases of the Nervous System

Diseases of the Nervous System of newer neurosurgical techniques, in particular the use of hypothermia during sur­ gery, has been reported to improve the results obtained with the direct intracranial attack (8). Carotid and basilar artery insufjiciency.-The syndrome of intermittent insufficiency and occlusion of the carotid artery has been recognized for many years. The high incidence of carotid artery occlusion has been em­ phasized by the report of 28 cases of complete occlusion and 13 cases of severe narrowing of the lumen occurring in 432 consecutive routine autopsies in a general hospital (9) . Occlusion may be unaccompanied by demonstrable changes in the brain, or may be associated with unilateral or bilateral soften­ ings. In 13 cases there was an organic dementia suggesting that carotid artery DISEASES OF THE NERVOUS SYSTEM insufficiency may be of importance in the pathogene sis of the senile dementias. The relatively infrequent post-mortem examination of the carotid arteries in the neck and skull has probably concealed the high incidence of occlusion in the p ast . of basilar artery thrombosis, there may be i nterm itt ent sym­ toms and signs prior to a fatal occlusion. The diagnosis of basilar artery insufficie ncy is suggested by intermittent episodes http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Medicine Annual Reviews

Diseases of the Nervous System

Fishman, R A; Merriti, H H
Annual Review of Medicine , Volume 8 (1) – Feb 1, 1957
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Publisher
Annual Reviews
Copyright
Copyright 1957 Annual Reviews. All rights reserved
Subject
Review Articles
ISSN
0066-4219
eISSN
1545-326X
DOI
10.1146/annurev.me.08.020157.001411
pmid
13425334
Publisher site
See Article on Publisher Site

Abstract

of newer neurosurgical techniques, in particular the use of hypothermia during sur­ gery, has been reported to improve the results obtained with the direct intracranial attack (8). Carotid and basilar artery insufjiciency.-The syndrome of intermittent insufficiency and occlusion of the carotid artery has been recognized for many years. The high incidence of carotid artery occlusion has been em­ phasized by the report of 28 cases of complete occlusion and 13 cases of severe narrowing of the lumen occurring in 432 consecutive routine autopsies in a general hospital (9) . Occlusion may be unaccompanied by demonstrable changes in the brain, or may be associated with unilateral or bilateral soften­ ings. In 13 cases there was an organic dementia suggesting that carotid artery DISEASES OF THE NERVOUS SYSTEM insufficiency may be of importance in the pathogene sis of the senile dementias. The relatively infrequent post-mortem examination of the carotid arteries in the neck and skull has probably concealed the high incidence of occlusion in the p ast . of basilar artery thrombosis, there may be i nterm itt ent sym­ toms and signs prior to a fatal occlusion. The diagnosis of basilar artery insufficie ncy is suggested by intermittent episodes

Journal

Annual Review of Medicine – Annual Reviews

Published: Feb 1, 1957

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