By H. W. Pia (auth.), H. W. Pia, J. R. W. Gleave, E. Grote, J. Zierski (eds.)
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Additional info for Cerebral Angiomas: Advances in Diagnosis and Therapy
Lesion of pyramidal tract 72 1. SAH 20"/. Papilledema 30"10 Space-occupying symptomatology. ataxia. brain} 800' nerve disturbances. lesion of pyramidal tract 0 Vermis. tonsils. hemisphere t<±) Total exstirpation ~e 20 18 Medulla, pons. midbrain 38 of incidence, symptoms of increased intracranial pressure and of cerebellar involvement are most cornmon. Involvement of the cranial nerves as well as of the pyramidal tracts occurs whenever either the medulla and/or the pons or the midbrain were affected.
Recently surgical procedures attempting the total removal of these angiomas have become more frequent. In our opinion the methods of ernbolisation or stereotaxy are unlikely to be useful. Table 5. Type of angioma and operability Classification following Type of Angioma Compact localized angiomas with little venous drainages limited to the surroundings of angioma Diffused angiomas without formation of numerous and enlarged venous drainages Diffused angiomas with numerous and enlarged drainages, demonstrated distally from angioma ("cerebral varicosis") The so-called aneurysms of the vein of Galen These remarks are by no means intended to dictate what can be operated on and what not.
Selective catheterisation of different branches of the external carotid artery. The variations in origin do not hinder the selective study of these vessels. Although they may have different levels of origin in relation to the carotid bifurcation or may originate from a common trunk, they always originate from the same aspect of the external carotid artery so that it is almost always possible to perform selective arteriography of the common trunk. The first and the most simple to catheterise is the superior thyroid artery which is the first anterior branch and is situated immediately above the bifurcation or at the bifurcation of the common carotid.
Cerebral Angiomas: Advances in Diagnosis and Therapy by H. W. Pia (auth.), H. W. Pia, J. R. W. Gleave, E. Grote, J. Zierski (eds.)