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Dwight Parkinson

with spontaneous subarachnoid hemorrhage and proven aneurysm as a group are in an extremely precarious position as compared to the group without a demonstrable aneurysm. Surgery is the treatment of choice whenever possible in cases of spontaneous subarachnoid hemorrhage with a proven aneurysm. There is no lesion more benign, and yet more lethal when ruptured, than an intracranial aneurysm. REFERENCES 1. Gurdjian , E. S. , and Webster , J. E. Stroke resulting from internal carotid artery thrombosis in the neck. J. Amer

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Measurement of Retinal Artery and Intracarotid Pressures

Following Carotid Artery Occlusion with the Crutchfield Clamp

Albert Heyman, George T. Tindall, William H. M. Finney and Barnes Woodhall

. , Karp , H. R. , and Bloor , B. M. Determination of retinal artery pressures in diagnosis of carotid artery occlusion. Neurology , 1957 , 7 : 97 – 104 . Heyman , A., Karp , H. R., and Bloor , B. M. Determination of retinal artery pressures in diagnosis of carotid artery occlusion. Neurology , 1957, 7: 97–104. 5. Johnson , H. C. Cervical intracarotid pressure studies: their significance in the management of intracranial aneurysms. Surgery , 1953 , 33 : 537 – 543 . Johnson , H. C

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George T. Tindall, Guy L. Odom, M. L. Dillon, H. B. Cupp Jr., M. S. Mahaley Jr. and Joseph C. Greenfield Jr.

-filling of the intracranial circulation as determined by carotid arteriography during compression of the contralateral carotid artery. Method and Case Material Studies were done in 19 male patients undergoing surgery on the carotid vessels in the neck. Their ages ranged from 27 to 73 years. The diagnoses in this group of patients are shown in Table 1 . In 5 patients with congenital intracranial aneurysm, surgery was carried out to accomplish a gradual ligation of the common carotid artery by means of a Crutchfield clamp. In 8 patients with a diagnosis of tumor

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Nicholas A. Halasz and John C. Kennady

. Carotid body tumors and aneurysms. Angiology , 1961 , 12 : 597 – 600 . Hardin , C. A. Carotid body tumors and aneurysms. Angiology , 1961, 12: 597–600. 12. Johnson , H. C. Cervical intracarotid pressure studies: their significance in the management of intracranial aneurysms. Surgery , 1953 , 33 : 537 – 543 . Johnson , H. C. Cervical intracarotid pressure studies: their significance in the management of intracranial aneurysms. Surgery , 1953, 33: 537–543. 13. Kennady , J. C

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Tomio Ohta, Javier Sagarminaga and Maitland Baldwin

Uihlein , A. Treatment of intracranial vascular disorders with the aid of profound hypothermia and total circulatory arrest: three years' experience. J. Neurosurg. , 1964 , 21 : 372 – 377 . MacCarty , C. S., Michenfelder , J. D., and Uihlein , A. Treatment of intracranial vascular disorders with the aid of profound hypothermia and total circulatory arrest: three years' experience. J. Neurosurg. , 1964, 21: 372–377. 30. Marshall , B. M. Anesthesia for intracranial aneurysm surgery. Clin. Neurosurg. , 1961 , 9

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J. Lawrence Pool and Robert P. Colton

discussed the technical details involved. Since the technique has been so widely adopted, we think it historically appropriate to mention that we believe we were the first to use the microscope for intracranial aneurysmal surgery. References 1. Pool , J. L. A new dimension in aneurysm surgery. Columbia Univ. Phys. Surg. Q. , 1965 , 10 : 18 – 20 . Pool , J. L. A new dimension in aneurysm surgery. Columbia Univ. Phys. Surg. Q. , 1965, 10: 18–20. 2. Pool , J. L. Micromovies of aneurysm surgery. Presented at

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Eben Alexander Jr., S. M. Wigser and Courtland H. Davis

studies: their significance in the management of intracranial aneurysms. Surgery, St Louis , 1953 , 33 : 537 – 543 . Johnson , H. C. Cervical intracarotid pressure studies: their significance in the management of intracranial aneurysms. Surgery, St Louis , 1953, 33: 537–543. 24. Lin , P. M. , Javid , H. , and Doyle , E. J. Partial internal carotid artery occlusion treated by primary resection and vein graft. Report of a case. J. Neurosurg. , 1956 , 13 : 650 – 655 . Lin , P. M., Javid , H., and Doyle , E. J

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John F. Alksne, Aaron G. Fingerhut and Robert W. Rand

Fingerhut , A. G. Magnetically controlled metallic thrombosis of intracranial aneurysms. A preliminary report. Bull. Los Ang. neurol. Soc. , 1965 , 30 : 153 – 155 . Alksne , J. F., and Fingerhut , A. G. Magnetically controlled metallic thrombosis of intracranial aneurysms. A preliminary report. Bull. Los Ang. neurol. Soc. , 1965, 30: 153–155. 2. Alksne , J. F. , Fingerhut , A. G. , and Rand , R. W. Magnetically controlled metallic thrombosis of intracranial aneurysms. Surgery, St. Louis . (in press) Alksne

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J. L. Osterholm and Jack Pyneson

particular value when structures are small or visualization difficult, as in aneurysm surgery, where it makes possible protection of small, but important, perforating vessels. As a teaching aid, television magnification is unsurpassed, for it enables operating room personnel, students, residents, and referring physicians to see procedures previously seen only by the surgeon and perhaps the first assistant. Summary We have described a closed-circuit television technique for visualization of small surgical structures, using optical and electronic magnification. The