THE QUESTION OF CEREBRAL ANGIOSPASM
Authors: H. J. L. M.
Journal: Annals of Internal Medicine (1952)

Editorial1 April 1952THE QUESTION OF CEREBRAL ANGIOSPASMH. J. L. M.H. J. L. M.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-4-1129 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptVasospasm has become a clinical cliché—a glib device to explain what at first seems to be otherwise inexplicable. Time and again we encounter, in books, in papers and in consultation, phrases that echo Osler's words, "the ephemeral nature of the attacks can scarcely be explained in any other way." Arterial spasm has become entrenched in our minds and texts as the underlying mechanism of transient cerebral syndromes. That this acceptance is hasty, uncritical and unnecessary, becomes evident from a consideration of known facts.Cogent arguments against the acceptance of angiospasm as the mechanism of transient hypertensive crises have been advanced...1 Pickering GW: Transient cerebral paralysis in hypertension and in cerebral embolism, J. A. M. A. 137: 423, 1948. CrossrefMedlineGoogle Scholar2 ForbesFinleyNason HSKHGI: Cerebral circulation; action of epinephrine on pial vessels; action of pituitary and pitressin on pial vessels; vasomotor response in pia and in skin, Arch. Neurol. and Psychiat. 30: 957, 1933. CrossrefGoogle Scholar3 Jackson JH: On a case of temporary left hemiplegia, Brain 3: 433, 1880. Google Scholar4 Denny-Brown D: The treatment of recurrent cerebrovascular symptoms and the question of "vasospasm," Med. Clin. N. Am. 35: 1457, 1951. CrossrefMedlineGoogle Scholar5 AmeliAshby NODW: Non-traumatic thrombosis of the carotid artery, Lancet 2: 1078, 1949. CrossrefMedlineGoogle Scholar6 KubikAdams CSRD: Occlusion of the basilar artery—a clinical and pathological study, Brain 69: 73, 1946. CrossrefMedlineGoogle Scholar7 KennedyWortisWortis FSBH: The clinical evidence for cerebral vasomotor changes, Proc. A. Research Nerv. and Ment. Dis. 18: 670, 1937. Google Scholar8 Schmidt CF: The cerebral circulation in health and disease, 1950, C. C Thomas, Springfield, Ill., p. 27. Google Scholar9 Penfield W: The circulation of the epileptic brain, Proc. A. Research Nerv. and Ment. Dis. 18: 605, 1937. Google Scholar10 RussekZohman HIBL: Papaverine in cerebral angiospasm (vascular encephalopathy), J. A. M. A. 136: 930, 1948. CrossrefMedlineGoogle Scholar11 Alpers BJ: Clinical neurology, 2nd ed., 1950, F. A. Davis Co., Philadelphia, p. 477. Google Scholar12 Leriche R: Treatment of embolism and thrombosis of the cerebral vessels, Brit. M. J. 1: 231, 1952. CrossrefMedlineGoogle Scholar13 Alvarez WC: The neuroses, 1951, W. B. Saunders Co., Philadelphia, p. 201. Google Scholar14 Pickering GW: Vascular spasm, Lancet 2: 845, 1951. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCerebral angiospasmTHE CLINICAL ASPECTS OF CEREBRAL VASCULAR INSUFFICIENCY*ELIOT CORDAY, M.D., F.A.C.P., SANFORD F. ROTHENBERG, M.D.The Treatment of Cerebrovascular AccidentInfluence of age and vascular disease on cerebral hemodynamics and metabolismThe Cerebral Circulation and Metabolism in Arteriosclerotic and Hypertensive Cerebrovascular DiseaseAcute Intracranial Vascular Lesions: Diagnosis and ManagementAutogenous Carbon Dioxide for the Relief of Symptoms Suggesting Cerebral AngiospasmTreatment of Incipient Apoplexy with Intravenous Aminophylline.1 1 April 1952Volume 36, Issue 4Page: 1129-1135 Issue Published: 1 April 1952 PDF downloadLoading ...