Cerebrovascular disease

Abstract

Patients with cerebrovascular disease should be carefully studied with all available means, including roentgen films of the skull, eeg''s carotid compression testing, ophthalmo-dynamometry, lumbar puncture, and angiograms. Angiograms may reveal a mass lesion amenable to surgical intervention. In some cases, air contrast studies may also be indicated. About 30% of patients with cerebrovascular disease have occlusive abnormality in the larger vessels in the neck and thorax. Angiograms, ophthalmodynamometry, and carotid compression testing may help in diagnosis of these lesions. Partial occlusion of one of the larger vessels in the neck or thorax may be successfully treated by operation or anticoagulant therapy.