Article1 October 1953MANAGEMENT OF CEREBRAL VASCULAR ACCIDENTSJ. M. NIELSEN, M.D., F.A.C.P.J. M. NIELSEN, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-39-4-717 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCerebral vascular accidents are usually thought of as thrombosis, hemorrhage and embolism. However, subarachnoid hemorrhage and subdural hematoma are also vascular accidents. Neoplasms come in for differential diagnosis in many cases.I. CEREBRAL THROMBOSISMuch has appeared in the literature in the last few years about the treatment of cerebral thrombosis with stellate block or intravenous injection of procaine. Let us face clearly that there is no treatment as yet which will dissolve a clot in a cerebral blood vessel. It should have been emphasized that the treatment mentioned is forthreatenedthrombosis. It must be given before a thrombosis...Bibliography1. AringMerritt CDHH: Vascular disease of the nervous system, Brain 68: 28, 1945. CrossrefGoogle Scholar2. Bruetsch WL: Rheumatic brain disease, J. A. M. A. 134: 450, 1947. CrossrefMedlineGoogle Scholar3. Dublin WB: Pathologic lesions of the brain associated with chronic rheumatic endocarditis and accompanied by psychosis, Dis. Nerv. System 2: 390, 1941. Google Scholar4. Gilbertde Takats NCG: Apoplexy, J. A. M. A. 136: 659, 1948. CrossrefMedlineGoogle Scholar5. Hamby WB: Spontaneous subarachnoid hemorrhage of aneurysmal origin, J. A. M. A. 136: 522, 1948. CrossrefMedlineGoogle Scholar6. Leary T: Subdural hemorrhages, J. A. M. A. 103: 897, 1934. CrossrefGoogle Scholar7. McDonaldKorb CAM: Intracranial aneurysms, Arch. Neurol. and Psychiat. 42: 298, 1939. CrossrefGoogle Scholar8. Mount LA: Treatment of spontaneous subarachnoid hemorrhage, J. A. M. A. 146: 693, 1951. CrossrefMedlineGoogle Scholar9. Munro D: Cerebral subdural hematomas; study of 310 verified cases, New England J. Med. 227: 87, 1942. CrossrefGoogle Scholar10. Penfield W: Surgical treatment of spontaneous cerebral hemorrhage, Canad. M. A. J. 28: 369, 1937. Google Scholar11. WilsonRuppRiggsWilson GCHEWW: Factors influencing the development of cerebral vascular accidents. I. Role of cardiocirculatory insufficiency, J. A. M. A. 145: 1227 (April 21) 1951. CrossrefMedlineGoogle Scholar12. VillaretCachera MR: Les embolies cérébrales, 1939, Masson et Cie, Paris. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Los Angeles, California*Presented at the Thirty-Fourth Annual Session of the American College of Physicians, Atlantic City, New Jersey, April 16, 1953. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDisorders of ConsciousnessThe Treatment of Cerebrovascular Accident 1 October 1953Volume 39, Issue 4Page: 717-722KeywordsBlood vesselsHemorrhageIntravenous injectionsSubarachnoid hemorrhageThrombosis ePublished: 1 December 2008 Issue Published: 1 October 1953 PDF downloadLoading ...