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LIGATION OF THE LEFT ANTERIOR CEREBRAL ARTERY: ITS HAZARDS AND MEANS OF AVOIDANCE OF ITS COMPLICATIONS

LIGATION OF THE LEFT ANTERIOR CEREBRAL ARTERY: ITS HAZARDS AND MEANS OF AVOIDANCE OF ITS... Abstract It is fairly well known among neurosurgeons that ligation of the left anterior cerebral artery is hazardous and may be followed by disastrous results. Dandy1 emphasized this fact and has described a rather striking clinical picture observed after ligation of this artery. He said: "If the left anterior cerebral artery is injured by any chance the patient can never regain consciousness." He had personal experience with 2 patients who lived two and three weeks, respectively, after the artery had been ligated 2.5 cm. distal to the genu corporis callosi. His deduction was that the center of consciousness is located in the left cerebral hemisphere, in the region supplied by the left anterior cerebral artery; in other words, along the mesial aspect of the left cerebral hemisphere, near the anterior portion of the corpus callosum. That this striking clinical picture of a permanent state of unconsciousness may be produced by References 1. Dandy, W. E.: The Brain , in Lewis, D.: Practice of Surgery , Hagerstown, Md., W. F. Prior Company, Inc., 1932, vol. 12, chap. 1, p. 51. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

LIGATION OF THE LEFT ANTERIOR CEREBRAL ARTERY: ITS HAZARDS AND MEANS OF AVOIDANCE OF ITS COMPLICATIONS

Archives of Neurology & Psychiatry , Volume 41 (3) – Mar 1, 1939

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Publisher
American Medical Association
Copyright
Copyright © 1939 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1939.02270150069006
Publisher site
See Article on Publisher Site

Abstract

Abstract It is fairly well known among neurosurgeons that ligation of the left anterior cerebral artery is hazardous and may be followed by disastrous results. Dandy1 emphasized this fact and has described a rather striking clinical picture observed after ligation of this artery. He said: "If the left anterior cerebral artery is injured by any chance the patient can never regain consciousness." He had personal experience with 2 patients who lived two and three weeks, respectively, after the artery had been ligated 2.5 cm. distal to the genu corporis callosi. His deduction was that the center of consciousness is located in the left cerebral hemisphere, in the region supplied by the left anterior cerebral artery; in other words, along the mesial aspect of the left cerebral hemisphere, near the anterior portion of the corpus callosum. That this striking clinical picture of a permanent state of unconsciousness may be produced by References 1. Dandy, W. E.: The Brain , in Lewis, D.: Practice of Surgery , Hagerstown, Md., W. F. Prior Company, Inc., 1932, vol. 12, chap. 1, p. 51.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Mar 1, 1939

References