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ARTERIOGRAPHIC VISUALIZATION OF CEREBROVASCULAR LESIONS

ARTERIOGRAPHIC VISUALIZATION OF CEREBROVASCULAR LESIONS Abstract CEREBRAL angiography as a method of localizing intracranial lesions was first introduced by Egas Moniz in 1927.1 After injection of radiopaque substance into the carotid artery, roentgenograms of the cerebrovascular tree were taken. Lesions could be identified by their vascular pattern or by the displacement of the cerebral blood vessels. Although Egas Moniz strongly advocated the use of his method for the localization of cerebral neoplasms, for the present air insufflation remains the procedure of choice. There is agreement, however, that cerebral angiography is a useful technic for the localization of certain vascular lesions,2 namely, intracranial aneurysm, angiomatous malformations, occlusion of the internal carotid artery and traumatic arteriovenous aneurysm. The usefulness of the technic will depend on the proper selection of patients. The case histories presented in this report illustrate the use of cerebral arteriography as an aid in neurologic diagnosis. TECHNIC The technic used was essentially that References 1. Egas Moniz: L'encéphalographie artérielle, son importance dans la localisation des tumeurs cérébrales , Rev. neurol. 2:72, 1927. 2. Elvidge, A. R.: The Cerebral Vessels Studied by Angiography , A. Research Nerv. & Ment. Dis., Proc. 18:110, 1938. 3. Gross, S. W.: Cerebral Arteriography , Arch. Neurol. & Psychiat. 46:704 ( (Oct.) ) 1941. 4. Egas Moniz: Diagnostic des tumeurs cérébrales et épreuve de l'encéphalographie artérielle , Paris, Masson & Cie, 1931. 5. Egas Moniz; Lima, A., and de Lacerda, R.: Hémiplégies par thrombose de la carotide interne , Presse méd. 45:977, 1937. 6. Sorgo, W.: Ueber den durch Gefässprozesse bedingten Verschluss der Art. carotis interna , Zentralbl. f. Neurochir. 4:161, 1939. 7. Globus, J. H., and Schwab, J. M.: Intracranial Aneurysms , J. Mt. Sinai Hosp. 8:547, 1942. 8. Wilson, G.; Rupp, C., and Bartle, H., Jr.: Ruptured Aneurysms of the Circle of Willis , Tr. Am. Neurol. A. 68:140, 1942. 9. Richardson, J. C., and Hyland, H. H.: Intracranial Aneurysms , Medicine 20:1, 1941. 10. Globus and Schwab.6a 11. Wilson and others.6b 12. Richardson and Hyland.7 13. McDonald, C. A., and Korb, M.: Intracranial Aneurysms , Arch. Neurol. & Psychiat. 42:298 ( (Aug.) ) 1939. 14. Dandy, W. E.: Ateriovenous Aneurysm of the Brain , Arch. Surg. 17: 190 ( (Aug.) ) 1928. 15. Cushing, H., and Bailey, P.: Tumors Arising from the Blood Vessels of the Brain , Springfield, Ill., Charles C Thomas, Publisher, 1928. 16. Ray, B. S.: Cerebral Arteriovenous Aneurysms , Surg., Gynec. & Obst. 73:615, 1941. 17. Northfield, D. W. C.: Angiomatous Malformations of the Brain , Guy's Hosp. Rep. 90:149, 1940. 18. Hunt, R.: The Role of the Carotid Arteries in the Causation of Vascular Lesions of the Brain , Am. J. M. Sc. 147:704, 1914. 19. Galdston, M.; Govons, S.; Wortis, S. B.; Steele, J. M., and Taylor, H. K.: Thrombosis of the Common, Internal and External Carotid Arteries , Arch. Int. Med. 67:1162 ( (June) ) 1941. 20. Sorgo.5 21. Darling, S. T., and Clark, H. C.: Arteritis Syphilitica Obliterans , J. M. Research 32:1, 1915. 22. Erb, W.: Ein Fall von ausgedehnter Gehirnerweichung bei totaler Obliteration der Carotis communis sinistra , München. med. Wchnschr. 51:946, 1904. 23. Galdston and others.15a 24. Davis, L., and Perret, G.: Cerebral Thromboangiitis Obliterans , Quart. Bull., Northwestern Univ. M. School 16:267, 1942. 25. Hausner, E., and Allen, E. V.: Cerebrovascular Complications in Thrombo-Angiitis Obliterans , Ann. Int. Med. 12:845, 1938. 26. Martin, J. D., and Mabon, R.: Pulsating Exophthalmos , J. A. M. A. 121:330 ( (Jan. 30) ) 1943. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

ARTERIOGRAPHIC VISUALIZATION OF CEREBROVASCULAR LESIONS

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Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1946.02300170048006
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Abstract

Abstract CEREBRAL angiography as a method of localizing intracranial lesions was first introduced by Egas Moniz in 1927.1 After injection of radiopaque substance into the carotid artery, roentgenograms of the cerebrovascular tree were taken. Lesions could be identified by their vascular pattern or by the displacement of the cerebral blood vessels. Although Egas Moniz strongly advocated the use of his method for the localization of cerebral neoplasms, for the present air insufflation remains the procedure of choice. There is agreement, however, that cerebral angiography is a useful technic for the localization of certain vascular lesions,2 namely, intracranial aneurysm, angiomatous malformations, occlusion of the internal carotid artery and traumatic arteriovenous aneurysm. The usefulness of the technic will depend on the proper selection of patients. The case histories presented in this report illustrate the use of cerebral arteriography as an aid in neurologic diagnosis. TECHNIC The technic used was essentially that References 1. Egas Moniz: L'encéphalographie artérielle, son importance dans la localisation des tumeurs cérébrales , Rev. neurol. 2:72, 1927. 2. Elvidge, A. R.: The Cerebral Vessels Studied by Angiography , A. Research Nerv. & Ment. Dis., Proc. 18:110, 1938. 3. Gross, S. W.: Cerebral Arteriography , Arch. Neurol. & Psychiat. 46:704 ( (Oct.) ) 1941. 4. Egas Moniz: Diagnostic des tumeurs cérébrales et épreuve de l'encéphalographie artérielle , Paris, Masson & Cie, 1931. 5. Egas Moniz; Lima, A., and de Lacerda, R.: Hémiplégies par thrombose de la carotide interne , Presse méd. 45:977, 1937. 6. Sorgo, W.: Ueber den durch Gefässprozesse bedingten Verschluss der Art. carotis interna , Zentralbl. f. Neurochir. 4:161, 1939. 7. Globus, J. H., and Schwab, J. M.: Intracranial Aneurysms , J. Mt. Sinai Hosp. 8:547, 1942. 8. Wilson, G.; Rupp, C., and Bartle, H., Jr.: Ruptured Aneurysms of the Circle of Willis , Tr. Am. Neurol. A. 68:140, 1942. 9. Richardson, J. C., and Hyland, H. H.: Intracranial Aneurysms , Medicine 20:1, 1941. 10. Globus and Schwab.6a 11. Wilson and others.6b 12. Richardson and Hyland.7 13. McDonald, C. A., and Korb, M.: Intracranial Aneurysms , Arch. Neurol. & Psychiat. 42:298 ( (Aug.) ) 1939. 14. Dandy, W. E.: Ateriovenous Aneurysm of the Brain , Arch. Surg. 17: 190 ( (Aug.) ) 1928. 15. Cushing, H., and Bailey, P.: Tumors Arising from the Blood Vessels of the Brain , Springfield, Ill., Charles C Thomas, Publisher, 1928. 16. Ray, B. S.: Cerebral Arteriovenous Aneurysms , Surg., Gynec. & Obst. 73:615, 1941. 17. Northfield, D. W. C.: Angiomatous Malformations of the Brain , Guy's Hosp. Rep. 90:149, 1940. 18. Hunt, R.: The Role of the Carotid Arteries in the Causation of Vascular Lesions of the Brain , Am. J. M. Sc. 147:704, 1914. 19. Galdston, M.; Govons, S.; Wortis, S. B.; Steele, J. M., and Taylor, H. K.: Thrombosis of the Common, Internal and External Carotid Arteries , Arch. Int. Med. 67:1162 ( (June) ) 1941. 20. Sorgo.5 21. Darling, S. T., and Clark, H. C.: Arteritis Syphilitica Obliterans , J. M. Research 32:1, 1915. 22. Erb, W.: Ein Fall von ausgedehnter Gehirnerweichung bei totaler Obliteration der Carotis communis sinistra , München. med. Wchnschr. 51:946, 1904. 23. Galdston and others.15a 24. Davis, L., and Perret, G.: Cerebral Thromboangiitis Obliterans , Quart. Bull., Northwestern Univ. M. School 16:267, 1942. 25. Hausner, E., and Allen, E. V.: Cerebrovascular Complications in Thrombo-Angiitis Obliterans , Ann. Int. Med. 12:845, 1938. 26. Martin, J. D., and Mabon, R.: Pulsating Exophthalmos , J. A. M. A. 121:330 ( (Jan. 30) ) 1943.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Jun 1, 1946

References