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This volume is dedicated to the Third International Symposium on
Microneurosurgical Anastomoses for Cerebral Ischemia, which took
place in Rottach-Egern, June 2&-30, 1976, under the sponsorship
of Professor F. Marguth, Director of the Depart- ment of
Neurosurgery, Ludwig-Maximilians-University of Munich (West
Germany). It contains the continuing devel- opments of the extra-
intracranial arterial bypass (EIAB) for cerebrovascular occlusive
disease since the First International Symposium in Lorna Linda,
California, in June, 1973, and the Second International Symposium
in Chicago, Illinois, in June, 1974. The EIAB was developed by
Donaghy and Yasargil, and it consists of a microsurgical
anastomosis of the superficial tem- poral artery or the occipi tal
branch of the external carotid artery to the middle cerebral artery
on the surface of the brain and, very recently, the anastomosis of
the occipital artery to the posterior-inferior cerebellar artery
for the treatment of verte- brobasilar insufficiency. From the
presentations at the sym- posium it became evident that the
greatest potential in the pre- vention of a stroke in a susceptible
patient is the presence of an adequate collateral cerebral blood
flow. The basic diagnostic procedure is cerebral angiography in-
cluding both carotid and vertebral arteries. Regional cerebral
blood flow (rCBF) studies and computerized tomography add further
diagnostic information and are particularly important in the
selection of potential surgical candidates.
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