Prognostic Uncertainties in Cerebral Vascular Disease
Authors: JOSEPH F. FAZEKAS
Journal: Annals of Internal Medicine (1963)

Article1 January 1963Prognostic Uncertainties in Cerebral Vascular DiseaseJOSEPH F. FAZEKAS, M.D., F.A.C.P., RALPH W. ALMAN, M.D., JOHN F. SULLIVAN, M.D.JOSEPH F. FAZEKAS, M.D., F.A.C.P.Search for more papers by this author, RALPH W. ALMAN, M.D.Search for more papers by this author, JOHN F. SULLIVAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-1-93 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA previous communication reported the results of a correlative study undertaken to compare aortocranial and intracerebral angiographic findings with clinical impressions derived from neurological examination and the use of various ancillary diagnostic modalities (1). The performance of radiographic visualization to supplement clinical findings was shown to enhance diagnostic accuracy, to give some indication of prognosis in certain cases, and sometimes to permit a firm decision as to the advisability or inadvisability of surgical intervention.Nevertheless, even when the results of all available studies appear to indicate operation as the treatment of choice, the clinical outcome cannot be reliably predicted. This...References1. FAZEKASPAULCALLOWALMAN JFREADRW: The diagnosis of occlusive aortocranial disease. Amer. J. Med. In press. Google Scholar2. SIEKERT RG: Incipient or impending strokes (focal intermittent insufficiency or ischemic attacks), in Cerebral Vascular Diseases, Third Conference, Grune & Stratton, Inc., New York, 1961, p. 3. Google Scholar3. FAZEKAS JF: Cerebral blood flow—hemodynamics and controlling mechanisms, in Psychosomatic Medicine. The First Hahnemann Symposium, ed. by Nodine, J. H., and Moyer, J. H. Lea & Febiger, Philadelphia, 1962. Google Scholar4. ALPERSBERRYPADDISON BJRGRM: Anatomical studies of the circle of Willis in normal brain. Arch. Neurol. Psychiat. 31: 409, 1959. CrossrefGoogle Scholar5. HARDESTYROBERTSTOOLEROYSTER WHBJFHP: Studies of carotid-artery blood flow in man. New Engl. J. Med. 263: 944, 1960. CrossrefMedlineGoogle Scholar6. MOUNTTAVERAS LAJM: Arteriographic demonstration of the collateral circulation of the cerebral hemispheres. Arch. Neurol. Psychiat. 78: 235, 1957. CrossrefGoogle Scholar7. YOUMANSSCARCELLA JRG: Extracranial collateral cerebral circulation. Neurology (Minneap.) 11: 166, 1961. CrossrefMedlineGoogle Scholar8. MEYERDENNY-BROWN JSD: The cerebral collateral circulation. 1. Factors influencing collateral blood flow. Neurology (Minneap.) 7: 447, 1957. CrossrefMedlineGoogle Scholar9. FINNERTYWITKINFAZEKAS FALJF: Cerebral hemodynamics during cerebral ischemia induced by acute hypotension. J. Clin. Invest. 33: 1227, 1954. CrossrefMedlineGoogle Scholar10. KETYSCHMIDT SSCF: The effects of altered arterial tensions of carbon dioxide and oxygen on cerebral blood flow and cerebral oxygen consumption of normal young men. J. Clin. Invest. 27: 484, 1948. CrossrefMedlineGoogle Scholar11. FAZEKASALMAN JFRW: Unpublished data. Google Scholar12. MILLIKANSIEKERTWHISNANT CHRGJP: Intermittent carotid and vertebral-basilar insufficiency associated with polycythemia. Neurology (Minneap.) 10: 188, 1960. CrossrefMedlineGoogle Scholar13. DENNY-BROWN D: Recurrent cerebrovascular episodes. Arch. Neurol. 2: 194, 1960. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, MassachusettsFrom the Department of Neurology of the Pratt Clinic-New England Center Hospital, Boston, Massachusetts.Aided by a research grant (PHS B-2550) from the National Institute of Neurological Diseases and Blindness of the National Institutes of Health, United States Public Health Service.Requests for reprints should be addressed to Joseph F. Fazekas, M.D., 2025 Eye Street, N.W., Washington 6, D.C. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByPROBLEMS OF CEREBRAL VASCULAR DISEASE. H. THE CAUSES OF CEREBRAL VASCULAR INSUFFICIENCYCurrent Therapeutic Concepts of Cerebral and Myocardial Vascular DiseaseDiagnosis and Management of Extracranial and Intracranial Vascular DiseaseTherapeutic modalities in the management of cerebral vascular insufficiency 1 January 1963Volume 58, Issue 1Page: 93-101KeywordsBlindnessMedical servicesNeurologyPrevention, policy, and public healthResearch grantsVascular diseases Issue Published: 1 January 1963 PDF DownloadLoading ...