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Cerebrovascular Surgery pp 181–211Cite as

Clinical Evaluation of Cerebrovascular Physiology

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Abstract

This chapter discusses methods for examining extra- and intracranial cerebrovascular physiology. Increasingly, it is becoming apparent that selection of patients for surgical procedures will depend not only on the anatomic demonstration of a lesion by imaging procedures, but also by detection of specific physiological alterations in the vessels and the brain. The power of noninvasive tests for diagnosis of carotid disease lies primarily in their capability for detecting physiological alterations at the carotid bifurcation and in the carotid/ophthalmic system. The usefulness of methods for measuring cerebral blood flow and metabolism is being reexamined in the light of new technologies that allow one to monitor physiological events in the brain in transverse section and to measure cerebral parameters other than blood flow. The array of tests for evaluating carotid hemodynamics and cerebral physiology can sometimes be bewildering. This chapter attempts to present an overview of such methods to help the reader understand where new technology may fit into the diagnostic armamentarium and to aid in interpreting the relevance of scientific reports that appear in the literature.

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  1. Robert H. Ackerman
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  1. Department of Neurological Surgery, Albert Einstein College of Medicine, 1300 Morris Park Avenue, 10461, Bronx, NY, USA

    Jack M. Fein M.D.

  2. Department of Neurosurgery, New York University, 550 First Avenue, 10016, New York, NY, USA

    Eugene S. Flamm M.D.

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Ackerman, R.H. (1985). Clinical Evaluation of Cerebrovascular Physiology. In: Fein, J.M., Flamm, E.S. (eds) Cerebrovascular Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5030-2_8

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