Surgical Management of Cerebrovascular Insufficiency

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Abstract
THE patient with signs and symptoms of cerebro-vascular insufficiency presents specific problems relating to diagnosis and treatment. Realizing that widely divergent opinions exist regarding the management of these cases, we consider this report of our experience in the diagnosis and surgical treatment of the extracranial vascular lesions justified.The concept that occlusive disease of the extra-cranial cerebral arteries may produce significant Central-nervous-system dysfunction now appears well founded. Chiari,1 in 1905, emphasized the frequency of atherosclerosis in the region of the carotid bifurcation, believing that these lesions produced cerebral symptoms and lesions by atheromatous embolization. Hunt,2 nine years later, recognized the . . .