[Skip to Content]
[Skip to Content Landing]
Other
June 1935

INTRACRANIAL ARTERIOVENOUS FISTULAIII. DIAGNOSIS BY DISCOVERY OF ARTERIAL BLOOD IN JUGULAR VEINS

Author Affiliations

ROCHESTER, MINN.; ALBANY, N. Y.; ROCHESTER, MINN.

From the Division of Medicine and the Section on Neurologic Surgery, the Mayo Clinic.

Arch NeurPsych. 1935;33(6):1232-1234. doi:10.1001/archneurpsyc.1935.02250180091004
Abstract

A review of the clinical and postmortem features in a case of intracranial arteriovenous fistula observed by Moersch and Kernohan in 1930 suggested to us the possibility that the diagnosis in similar conditions could be made clinically by study of the oxygen content of the blood in the jugular veins. The need for accurate diagnostic methods is evidenced by the fact that in most cases which have been reported in the literature the diagnosis was made either at the time of surgical exploration or at necropsy. We use the term "arteriovenous fistula" to designate any abnormal communication between an artery and a vein by means of which arterial blood enters the vein without passing through a capillary bed. Intracranial arteriovenous fistulas are essentially the same as arteriovenous fistulas situated in other parts of the body. The arrangement of the vessels varies markedly, but the fundamental condition and the resulting processes

×