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September 1965

Cerebrovascular Disease: An Analysis of Present Knowledge and Presentation of an Investigative Technique and Attitude

Author Affiliations


From the Department of Neurology and Neurological Surgery, College of Medicine, University of Illinois.

Arch Intern Med. 1965;116(3):392-399. doi:10.1001/archinte.1965.03870030072012

Introduction  ANEURYSMS, arteriovenous malformations, intracerebral hemorrhage, and arterial thrombosis represent potentially curable lesions. Taken together, they constitute a large proportion of the causes for "cerebrovascular accidents" or "strokes." The attitude of hopelessness, so often present when strokes are discussed, must be replaced by knowledge that not all strokes are the same, that many (but not all) strokes may be treated in the hope of improvement or even cure. It is our purpose to discuss these conditions and to present our view as to what is known of their proper treatment and what is left to be determined by further clinical investigation. No attempt will be made to review that part of the literature that is primarily descriptive or speculative. We will restrict our attention to work in which an attempt has been made to compare treatments, and emphasis will be placed upon studies in which a controlled trial of