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Titlebook: Microsurgery for Stroke; Peter Schmiedek,Otmar Gratzl,Robert F. Spetzler Book 1977 Springer-Verlag New York Inc. 1977 Anastomoses.Cerebral

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L. Auer,O. Gratzl,P. Waltinger,G. Sixl,H. Tritthart
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Experimental ischemia of the brainrain has certain advantages. With such an approach reproducible ischemic lesions can be produced which are uniform in all parts of the brain and which allow standardization of the experimental situation.
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Thresholds of cerebral ischemiaenforces a proportional reduction in oxygen consumption. Experimentally this principle allows a determination of the critical low levels of local oxygen supply, given as local blood flow (CBF), leading to failure of fundamental brain tissue functions.
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Combined use of regional cerebral blood flow measurement and computerized tomography for the diagnoshardly be employed on a routine base in the preoperative evaluation of all potential candidates for bypass surgery. Mainly, it is a traumatic procedure because of the necessity of a carotid puncture. There are, in addition, various methodologic problems involved which are making the interpretation o
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Comments on the history of external-internal anastomosis for cerebral ischemia a 44-year-old patient with bilateral carotid stenosis and epilepsy. This operation consisted in the transplantation of a pedicle of temporalis muscle over the surface of the brain via bilateral temporoparietal craniotomy. The operation was designated encephalomyosynangiosis, and the patient was rep
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Experimental ischemia of the brainin. The pathophysiology of regional ischemia is a very complex one: areas of no-flow or low-flow are surrounded by regions of reactive hyperemia, causing different degrees of ischemic cell damage. Changes in tissue pH and shifts in extracellular ions, cell swelling, and aggregation of blood particle
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