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Acta Neurochirurgica

, Volume 6, Issue 4, pp 285–309 | Cite as

Further observations on the clinical and physiopathological aspects of the congenital intracranial arteriovenous aneurysms

  • L. Perria
  • R. Crudeli
Article

Summary

In a review of their own series of congenital intracranial arteriovenous aneurysms (AVA), resulting up to June 30 1958 in 22 cases, the authors particularly discuss angiographic data and surgical indications.

Physioanatomical knowledge and angiographic study of these vascular malformations allows at present a clearer interpretation of the clinical picture.

The phenomenon of hemometakynesia (“borrowing-lending” ofRay, Burch andDe Bakey; “assistance mutuelle des territoires vasculaires” ofMentha) and the local vascular alterations are of great importance in relation to clinical findings; attention is called to these phenomena, which are examined in their different aspects.

Keywords

Clinical Picture Aspect Cliniques Vascular Malformation Sino Angiographic Study 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Zusammenfassung

In einer eigenen Serie von 22 congenitalen, intracraniellen, arteriovenösen Aneurysmen (bis zum 30. 6. 1958) stellt der Autor insbesondere die angiographischen Befunde und chirurgischen Indikationen dar.

Sowohl die physiologischen und anatomischen Kenntnisse wie auch die angiographischen Studien dieser Gefäßmißbildungen erlauben zum jetzigen Zeitpunkt eine bessere Deutung der klinischen Bilder.

Das Phänomen des Kollateralkreislaufes (‚'borrowing-lending“ vonRay, Burch undde Bakey; ‚'Assistance mutuelle des territoires vasculaires“ vonMentha) und die örtliche Gefäßveränderung spielen eine hervorragende Rolle für den klinischen Befund. Der Autor weist besonders auf diese Erscheinungen hin und untersucht sie in ihren verschiedenen Aspekten.

Résumé

D'après l'analyse d'une série personnelle d'anévrysmes congénitaux artérioveineux intracrâniens jusqu'au 30 juin 1958 portant sur 22 cas les auteurs envisagent surtout les constatations angiographiques et les indications chirurgicales.

Les connaissances anatomophysiologiques et l'étude angiographique de ces malformations vasculaires permettent actuellement une meilleure interprétation des aspects cliniques.

Le phénomène d'hémométakinésie («borrowing-lending» deRay, Burch etde Bakey «assistance mutuelle des territoires vasculaires» deMentha) et les altérations vasculaires locales sont trés importantes pour le déterminisme des tableaux cliniques. Les auteurs attirent l'attention sur ces phénomènes et les étudient dans leurs divers aspects.

Riassunto

Gli AA. elaborano brevemente i dati della loro serie personale di aneurismi artero-venosi endocranici congeniti, che sino al 30 giugno 1958 risulta di 22 casi. In particolare si soffermano sugli elementi di ordine angiografico e sull'indicazione operatoria.

Le conoscenze fisio-anatomiche e lo studio angiografico di queste malformazioni vascolari, rendono oggi possibile una migliore interpretazione dei quadri clinici.

Nel determinismo di questi, i fenomeni di emometacinesia (‚'borrowing-lending“ diRay, Burch ede Bakey, ‚'assistance mutuelle des territoires vasculaires“ diMentha)e le varie alterazioni vascolari Icoali assumono un ruolo di primissimo ordine che gli AA. analizzano nei diversi momenti.

Resumen

Los Autores consideran brevemente los datos de su serie de angiomas arteriovenosos congenitos, que comprenden 22 casos hasta el 30 de junio de 1958. Particularmente se discuten los elementos angiograficos y la indicacion operatoria. El conocimiento fisio-anatomico y el estudio angiografico de estas malformaciones vasculares hacen posible hoy una mejor interpretacion del cuadro clinico. El fenomeno de hemometacinesia (‚'borrowing-lending“ deRay, Burch yde Bakey, ‚'assistance mutuelle des territoires vasculaires“ deMentha) y las variadas alteraciones vasculares locales asumen un rol de primer orden que los autores analizan en sus diverses momentos.

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Copyright information

© Springer-Verlag 1958

Authors and Affiliations

  • L. Perria
    • 1
  • R. Crudeli
    • 1
  1. 1.Chair of Neurosurgery of the University of GenoaItaly

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