Therapy of Cerebrovascular Disorders

  • J. F. Toole
Conference paper


The proper management of patients with cerebral ischemia or infarction depends upon (1) the etiology of the process, (2) its state of evolution, and (3) the relationship between the disorder in the nervous system and the condition of the patient in general. In the past several years our ability precisely to define these three factors has improved enormously because of the discovery of new and safer ways to image the brain and its supporting blood vessels. The lesions in the arteries can be localized, the hemodynamic effects quantified and their effects on brain parenchyma assessed with definition of the type and extent of the pathologic process. However, no amount of technical information can substitute for the judgment of the clinician who must understand the natural history of the disorder and relate it to the patient, his family unit, and in some cases, to his community.


Internal Carotid Artery Temporal Arteritis Left Internal Carotid Artery Carotid System Cerebrovascular Insufficiency 
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  1. 1.
    BARNETT, H.J.M.: Discussion X. Princeton Conference. In: Cerebrovascular diseases (P. SCHEINBERG, Ed.). New York: Raven Press Publ., 1976.Google Scholar
  2. 2.
    FRIENDS, D.B., PATHAJAN, J.H., ANDERSON, R., DEBLANC, H.J.: Fibromuscular dysplasia of the posterior cerebral artery: Report of a case and review of the literature. Stroke 5, 161–166 (1974).CrossRefGoogle Scholar
  3. 3.
    GRÄTZL, O., SCHMIEDEK, P., SPETZLER, R., STEINHOFF, H., MARGUTH, F.: Clinical experience with extra- intracranial arterial anastomosis in 65 cases. J. Neurosurg. 44, 313–324 (1976).PubMedCrossRefGoogle Scholar
  4. 4.
    GREENHOUSE, A.H.: Cranial arteritis. Current Concepts of Cerebro-Vasucular Disease. Stroke 6, 11 (1971).Google Scholar
  5. 5.
    HOUSER, O.W., BAKER, H.L., SANDOK, B.A., HOLLEY, K.E.: Fibromuscular dysplasia of the cephalic arterial system, In: Handbook of Clinical Neurology (P.J. VINKEN, G.W. BRUYN, Eds.), vol. 11, chapt. 14, p. 366–385. Amsterdam: North Holland Publ. 1972.Google Scholar
  6. 6.
    LEVINE, J., SWANSON, P.D.: Idiopathic thrombocytosis: A treatable cause of transient ischemic attacks. Neurology 18, 711–716 (1968).PubMedGoogle Scholar
  7. 7.
    McHENRY, L.C., TOOLE, J.F., MILLER, H.S.: Long-term EKG monitoring in patients with cerebrovascular insufficiency. StrokeGoogle Scholar
  8. 8.
    SCHMIEDEK, P., GRATZL, O., SPETZLER, R., STEINHOFF, H., ENZEN-BACH, R., BRENDEL, W., MARGUTH, F.: Selection of patients for extra-intracranial arterial bypass surgery based on rCBF measurements. J. Neurosurg. 44, 303–312 (1976).PubMedCrossRefGoogle Scholar
  9. 9.
    TOOLE, J.F.: Management of TIA’s. In: Trans. Princeton Conf. on Cerebrovascular Dis. (P. SCHEINBERG, Ed.), New York: Raven Press 1976.Google Scholar
  10. 10.
    TOOLE, J.F., JANEWAY, R., CHOI, K., CORDELL, R., DAVIS, C., JOHNSTON, F., MILLER, H.S.: Transient ischemic attacks due to atherosclerosis: A prospective study of 160 patients. Arch. Neurol. 32, 5–12 (1975).PubMedGoogle Scholar
  11. 11.
    TOOLE, J.F., PATEL, A.N.: Cerebrovascular Disorders, p. 237–242. New York: McGraw Hill 1974.Google Scholar

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© Springer-Verlag Berlin Heidelberg 1977

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  • J. F. Toole

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