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June 1946

ARTERIOGRAPHIC VISUALIZATION OF CEREBROVASCULAR LESIONS

Author Affiliations

PHILADELPHIA

From the Department of Neurosurgery, Hospital of the University of Pennsylvania.

Arch NeurPsych. 1946;55(6):600-618. doi:10.1001/archneurpsyc.1946.02300170048006
Abstract

CEREBRAL angiography as a method of localizing intracranial lesions was first introduced by Egas Moniz in 1927.1 After injection of radiopaque substance into the carotid artery, roentgenograms of the cerebrovascular tree were taken. Lesions could be identified by their vascular pattern or by the displacement of the cerebral blood vessels. Although Egas Moniz strongly advocated the use of his method for the localization of cerebral neoplasms, for the present air insufflation remains the procedure of choice. There is agreement, however, that cerebral angiography is a useful technic for the localization of certain vascular lesions,2 namely, intracranial aneurysm, angiomatous malformations, occlusion of the internal carotid artery and traumatic arteriovenous aneurysm. The usefulness of the technic will depend on the proper selection of patients. The case histories presented in this report illustrate the use of cerebral arteriography as an aid in neurologic diagnosis.

TECHNIC  The technic used was essentially that

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