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A method to identify and treat reversible ischemic alterations of brain tissue

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Microsurgery for Stroke

Abstract

Inadequate perfusion to a portion of the brain results in neurologic deficit which appears to be primarily due to hypoxia.(4) If cerebral hypoxia, ischemia, or a combination of these lead only to temporary or slight neurologic deficit, reconstructive surgery of cerebral arteries is an accepted procedure. (6) There is, however, considerable pessimism regarding the value of surgery in patients with severe fixed neurologic deficit following stroke.(6,7) In such patients we really cannot predict whether their neurologic deficit results from reversible or irreversible hypoxia and/or ischemic alteration. We, therefore, have approached this problem by studying the effects of hyperbaric oxygen (HO) treatment and subsequently of an extra- intracranial arterial bypass (EIAB) on patients suffering from chronic cerebral ischemia.

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References

  1. Holbach KH, Wassmann H, Hohelùchter KL: Reversibility of the chronic poststroke state. Stroke 7: 296, 1976

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© 1977 Springer-Verlag New York Inc.

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Holbach, K.H., Wassmann, H., Bonatelli, A.P. (1977). A method to identify and treat reversible ischemic alterations of brain tissue. In: Schmiedek, P., Gratzl, O., Spetzler, R.F. (eds) Microsurgery for Stroke. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-6349-4_23

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  • DOI: https://doi.org/10.1007/978-1-4612-6349-4_23

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6351-7

  • Online ISBN: 978-1-4612-6349-4

  • eBook Packages: Springer Book Archive

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