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[Surgically correctable cerebrovascular insufficiency]

A Lüdtke-Handjery

    Zentralblatt Fur Chirurgie
    |January 1, 1981
    PubMed
    Summary

    Extracranial arterial obstructions cause a third of cerebrovascular disease cases. Surgical intervention is effective for 80% of these blockages, aiding stroke prevention.

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    Area of Science:

    • Neurology
    • Vascular Surgery
    • Cerebrovascular Medicine

    Background:

    • Supra-aortic branch obstructions account for one-third of clinically evident cerebrovascular disease.
    • Stenosis and occlusion are the primary alterations, with 80% amenable to surgical correction.

    Purpose of the Study:

    • To review normal and pathological physiology of cerebral blood flow.
    • To discuss clinical signs and staging of cerebral insufficiency.
    • To present modern diagnostic and surgical therapeutic approaches for cerebrovascular disease due to extracranial arterial obstruction.

    Main Methods:

    • Review of physiological principles of cerebral blood flow.
    • Analysis of clinical manifestations and staging of cerebral insufficiency.
    • Discussion of contemporary diagnostic modalities and surgical techniques for extracranial arterial obstructions.

    Main Results:

    • Extracranial arterial obstructions are a significant cause of cerebrovascular events.
    • A high percentage of these obstructions are surgically treatable.
    • Understanding cerebral blood flow dynamics is crucial for diagnosis and management.

    Conclusions:

    • Early detection and surgical intervention for occlusive processes are vital for stroke prevention.
    • Syncope and transient neurological deficits warrant investigation for underlying occlusive disease.
    • Modern diagnostics and surgical therapies offer effective management for extracranial cerebrovascular disease.

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