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The Book Forum
June 30, 1978

Microsurgery for Stroke

JAMA. 1978;239(26):2796. doi:10.1001/jama.1978.03280530060033

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This title hides a description of operations designed to increase the blood supply to the brain when it has been impaired by a lesion not accessible to more conventional vascular surgery in the neck. These operations include anastomosis of a branch of the superficial temporal artery to a branch of the middle cerebral artery and, with increasing frequency, anastomosis of the occipital artery to the posteroinferior cerebellar artery.

When these procedures were ten years old, in 1976, the third international symposium dealing with microsurgical anastomoses was held in Rottach-Egern, West Germany. The current text represents the effort of an international panel to review problems of cerebral ischemia from historical, experimental, and clinical viewpoints.

As with revascularization of the coronary arteries, there is much discussion of the basic pathology, technique, indications for operation, and results of follow-up. The text illustrates well the combined use of regional cerebral blood flow measurements and

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