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W. Eugene Stern, MD

Arch Neurol. 1969;21(5):455-465.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IN THE MANAGEMENT of patients who require deliberate occlusion of the extracranial vascular supply to the brain, for whatever cause, reliable assessment of the tolerance to such occlusive procedures is critical.

The search for these techniques of assessment has brought insight into multiple facets of cerebral metabolism, functional survival, and circulatory dynamics; but indicators of function that can be reliably and safely measured and that give us infallible predictions as to the safety of the surgical procedures, are still needed.

The following is a consideration of certain of those techniques of assessment which can be used before, during, or after deliberate cervical artery occlusion for intracranial vascular disease.

Techniques of Assessment

Clinical Trial of Occlusion.—

The clinical trial is, of course, the most meaningful test, but there are problems in its interpretation, and its application is not without risk.^1,2 Six of these risks are the following: (1) A . . . [Full Text PDF of this Article]

Author Affiliations
Los Angeles

From the Department of Surgery/Neurosurgery, UCLA School of Medicine, Los Angeles.

Footnotes
Submitted for publication June 21, 1969; accepted July 1.

Read before the American Neurological Association, Los Angeles, June 9-11, 1969.

Reprint requests to the Department of Surgery/ Neurosurgery, UCLA School of Medicine, Los Angeles 90024.

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