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This volume contains the papers presented at the 26th Annual
Meeting of the Deutsche Gesellschaft fUr Neurochirurgie, held in
Heidelberg, Western Germany, on May 1-3,1975. Since at recent
meetings of the German Neurosurgical Society central
pathophysiological problems such as "central dysregulation" and
"brain edema" had been discussed extensively, it seemed appropriate
to choose another major area of cerebral patho- physiology for the
meeting in Heidelberg. CEREBRAL HYPOXIA is, as LANGFITT once
emphasized, "the final common denominator" of various cerebral
lesions with which the neurosurgeon is confronted every day. Raised
intracranial pressure, respiratory disorders and disturbances in
systemic arterial blood pressure, etc. may lead, if not treated, to
a focal or global lack of oxygen in the brain tissue. Anoxia
finally results in cell death and thus in irreversible cerebral
damage or even death. Main interest has therefore been focussed on
disturbances in cerebral perfusion pressure ("ischemic hypoxia")
and in arterial oxygenation ("hypoxic hypoxia"). The importance of
cerebral autoregulatory mechanisms protecting the brain against
tissue hypoxia, of patho- morphological alterations of the cerebral
vessels (e. g. the "no-reflow-phenomenon") in the course of severe
hypoxia, and of changes in brain metabolism have been discussed on
a large scale. The organizing committee was particularly happy to
have obtained internationally well-known scientists who presented
their work in the field of cerebral hypoxia.
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