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Hemodynamic aspects of cerebral angiomas

Author: Werner Hassler
Publisher: Wien ; New York : Springer-Verlag, ©1986.
Series: Acta neurochirurgica., Supplementum ;, 37.
Edition/Format:   Print book : EnglishView all editions and formats
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Rather, according to the findings in precapillary vessels presented here, the regulation functions normally so that a breakdown of regulation cannot be responsible for global brain edema often seen  Read more...

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Genre/Form: Rankenangiom
Document Type: Book
All Authors / Contributors: Werner Hassler
ISBN: 0387819703 9780387819709 3211819703 9783211819708
OCLC Number: 14905856
Description: xiii, 136 pages : illustrations ; 28 cm.
Contents: I. Introduction.- 1. History.- 2. Aim of the Study.- 3. Hemodynamic Principles of Cerebral Perfusion.- 3.1. Hemodynamics in Normal Blood Vessels.- 3.2. Cerebral Perfusion and Autoregulation.- 4. Hemodynamics in Cerebral Angiomas.- 4.1. Hemodynamics of Angioma Feeding Arteries.- 4.2. Hemodynamics in the Angioma.- 4.3. Brain Perfusion and Angioma.- 4.4. Hemodynamic Changes After Angioma Exclusion.- II. Animal Experiments.- 1. Experimental Arteriovenous Fistulae.- 1.1. The Fistula Models of Spetzler and of Scott.- 1.2. Own Fistula Models.- 1.3. Topics of Our Experimental Investigations.- 2. Materials and Methods.- 2.1. Anaesthesia.- 2.2. Surgical Procedure.- 2.3. Blood Pressure Measurements.- 2.4. Electromagnetic Measurements of Flow Rate.- 2.5. Dopplersonographic Measurements of Flow Velocity.- 2.6. Measurements of Microcirculation (Laser Doppler).- 2.7. Angiography.- 3. Results of the Fistula Models in Rats.- 3.1. Direct AV Fistula (T-fistula).- 3.1.1. Electromagnetic Flow Measurements.- 3.1.2. Intraoperative Doppler Sonography.- 3.1.3. Blood Pressure.- 3.1.4. Angiography.- 3.2. Indirect AV Fistula (H-fistula).- 3.2.1. Electromagnetic Measurements.- 3.2.2. Doppler Sonography.- 3.2.3. Blood Pressure Measurements.- 3.2.4. Angiography.- 3.2.5. Long-term Experiments.- 3.2.6. Autoregulation Experiments.- 4. Results of Fistula Models in Cats.- 4.1. Flow Rates and Blood Pressure in the H-fistula Model.- 4.2. Dopplersonographic Measurements.- 4.3. Measurements in Varying Fistula Flow.- 4.4. High Flow Velocities and Vessel Wall Vibrations.- 4.5. Autoregulation in Acute and Chronic H-fistulas.- 4.6. Measurements of Cortical Perfusion and Flow Rates.- 4.7. Blood-brain Barrier.- 5. Discussion and Summary of Animal Experiments.- III. Angiography in Angioma Patients Before and After Surgery.- 1. Materials and Methods.- 2. Results.- 3. Discussion.- 4. Summary and Conclusion.- IV. Transcranial Doppler Sonography in Angioma Patients.- 1. Introduction, Methods and Normal Values.- 1.1. Transcutaneous Recording Methods.- 1.2. Transcranial Doppler Sonography.- 1.3. Normal Values.- 1.4. Discussion (Normal Values).- 2. Transcranial Doppler Sonography in Angioma Patients (Normocapnia).- 2.1. Preoperative Recordings.- 2.1.1. Flow Characteristics of Angioma Supplying Arteries.- 2.1.2. Discrimination of Spastic and Angioma Feeding Arteries.- 2.1.3. Transcranial dopplersonographic Recordings and Angiographical Vessel Diameter.- 2.1.4. Altered Blood Distribution and Steal Effects.- 2.1.5. Compression Tests in Angiomas.- 2.1.6. Special Cases.- 2.1.7. Flow Characteristics of Angioma Veins.- 2.1.8. Flow Characteristics of Cerebral Arteries.- 2.2. Postoperative Recordings in Angioma Patients.- 2.2.1. Flow Characteristics in Former Angioma Feeders.- 2.2.2. Flow Characteristics in Neighboring Brain Arteries After AVM Removal.- 2.2.3. Special Case With Early Hemorrhage After Surgery.- 2.3. Discussion.- 2.4. Summary.- 3. CO2 Reactivity, Normal Values and Findings in Angioma Patients.- 3.1. Method.- 3.2. Terminology.- 3.3. Normal Values.- 3.4. CO2 Reactivity in Angioma Patients.- 3.5. CO2 Reactivity of Brain Arteries in the Angiogram.- 3.6. CO2 Reactivity After AVM Removal.- 3.7. CO2 Reactivity Before and After Partial Embolization.- 3.8. Special Cases.- 3.9. Discussion.- V. Intraoperative Studies in Angioma Patients.- 1. Intraoperative Methods (History).- 2. Topics of Our Intraoperative Measurements.- 3. Methods Used in This Study.- 3.1. Microvascular Intraoperative Doppler Sonography.- 3.2. Electromagnetic Measurements of Flow Rate.- 3.3. Intravasal Pressure Measurements.- 4. Operative Strategy and Preparation of Vessels to Be Measured.- 5. Measurements Before AVM Removal.- 5.1. Doppler Sonography Before AVM Removal.- 5.2. Electromagnetic Measurements of Flow Rate.- 5.3. Intravasal Pressure Measurements.- 6. Measurements After AVM Removal.- 6.1. Doppler Sonography After AVM Removal.- 6.2. Intravasal Pressure Measurements After AVM Removal.- 6.3. Electromagnetic Measurements.- 7. CO2 Reactivity of Vessels Supplying Angioma and Brain Before and After AVM Exclusion.- 7.1. CO2 Reactivity Before AVM Removal.- 7.2. CO2 Reactivity After AVM Removal.- 8. Discussion.- 9. Summary of Intraoperative Measurements.- VI. Final Conclusions.- References.
Series Title: Acta neurochirurgica., Supplementum ;, 37.
Responsibility: Werner Hassler.

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