By H. Olivecrona, J. Ladenheim
Two a long time have elapsed because the booklet of the earliest examine from this hospital thirteen relating arteriovenous aneurysms. even supposing a number of communications , 36-40 have elaborated on our next reviews with this lesion, it can look justified and ecocnomic at the moment to extra assessment the fabric and verify the implications. additionally, we will try out during this monograph to pay attention basically upon our personal scientific fabric, the biggest sequence released to this point, instead of organize an exhaustive survey sixty three of the literature. cognizance is invited to the examine of TÖNNlS and LANGE-COSACK , with which this sequence will be collated. Acknowledgements are herein made to different individuals of the sanatorium who've formerly pronounced in this topic, from whose experiences we have now in different situations reproduced case histories. We convey our thank you for the help rendered by way of Professor E. LlNDGREN. Drs. H. NORDENSTAM and O. HÖÖK have been type sufficient to put their companies and suggestion at our disposal. To the Springer Publishing corporation is going the gratitude of the authors for the curiosity, attempt and cooperation attending the ebook of this monograph.
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Extra info for Congenital Arteriovenous Aneurysms of the Carotid and Vertebral Arterial Systems
Clinical Evaluation The 74 patients surviving the operation have been classified according to their working capa city from the information supplied from follow-up visits and yearly letters to the clinic. Good results. Fifty patients (62 %) were weIl and able to resume work. A few had minor disabilities or an occasional epileptic attack, but, notwithstanding, were self supporting. Improved. Fifteen patients (19 %) improved following surgery but retained disabilities which limited their working capacity.
55). Other variants of calcification have also beenobserved (Fig. 56-60). 2. Encephalography frequently demonstrates atrophy, either generalized or confined to the side of the lesion. 56. E. , 35 year old woman, 229/49. Lelt internal carotid angiogram (preoperative). Unusual form of arteriovenous aneurysm consisting of a large sac with enormous dilatation of the middle cerebral artery and almost complete absence of filling of other cerebral arteries. 57. See text of figure 56 Radiography 47 / Fig.
51. A. H. , 14 year old boy, 640/49. Right internal carotid angiogram (postoperative). The aneurysm has been removed. The dilated vessels have returned to normal caliber and the anterior cerebral artery now visualizes. Minimal weakness in the left extremities 6 years after surgery. Occasional epileptic attack, but the frequency is greatly diminished. Good result Fig. 52. See text of Fig. 51 Signs 43 Migraine has been noted in 4 patients, two of whom were treated for many years for this complaint before the appearance of additional symptoms directed attention to the etiology.