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W. James Gardner, Averill Stowell and Robert Dutlinger

the incidental interruption of the superficial temporal artery, the middle meningeal artery, or the lesser superficial petrosal nerve, or perhaps to psychic factors incidental to hospitalization and operation. A great deal has been written on the subject of headache and the mechanism of intracranial pain, but the possible role of the greater superficial petrosal nerve has been overlooked. Under the title of sphenopalatine ganglion neuralgia, Sluder 19, 20, 21 undoubtedly encountered cases similar to that described above. In fact, the anatomic and physiologic

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Peripheral Collateral Circulation Between Cerebral Arteries

A Demonstration by Angiography of the Meningeal Arterial Anastomoses

Harold Rosegay and Keasley Welch

callosomarginal branches was seen ( Fig. 1 ). There was no evident filling of the middle cerebral artery. A fine vessel running obliquely across the territory of the middle cerebral was considered to be the superficial temporal artery. On the second film, made 1 sec. later, retrograde filling of the middle cerebral from the internal frontal branches of the callosomarginal artery was seen ( Fig. 2 ). A diagnosis of thrombosis of the most proximal segment of the middle cerebral artery was made. Rheumatic fever and subacute bacterial endocarditis were excluded as etiologic

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Denton A. Cooley, Yousif D. Al-Naaman and Charles A. Carton

dizziness on sitting or standing up. The dizziness was transient, usually lasting less than 1 minute. Examination . Blood pressure was 150/80 mm. Hg. Normal pulsations were palpable in the common carotid arteries, and a soft thrill was present over the left carotid bifurcation. The left superficial temporal pulse was slightly weaker than the right. On auscultation a loud bruit was audible under the angle of the mandible and was transmitted upward over the superficial temporal artery. Compression of the carotid obliterated the thrill and bruit. Temporary occlusion of the

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Paul M. Lin, Hushang Javid and Edward J. Doyle

active bilaterally. There was no sensory abnormality over the distribution of the left trigeminal nerve. Neurological examination of other cranial nerves revealed no abnormalities. The vessels of the scalp were not unusually prominent. Pulsation of the left superficial temporal artery was easily palpable and the artery was not tender. Definite weakness was found in the right hand grip. Some subjective weakness on the right side had been noticed by the patient, but other than the weak hand grip, the findings on examination of motor function were not remarkable. Deep

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Cerebral Angiography: A New Technique

Catheterization of the Common Carotid Artery Via the Superficial Temporal Artery

Israel H. Weiner, Nicholas M. Azzato and Robert A. Mendelsohn

strain of maintaining a sharp needle immobile in the artery, (5) freedom for proper positioning, and (6) allowance for a leisurely, accurate study. The chief disadvantages of their technique would seem to be: (1) the necessity for special equipment, not readily available, and (2) the continued necessity of the trauma and sequelae incident to puncture of a major artery. We believe our method combines the essential advantages outlined by these authors and eliminates the disadvantages. The superficial temporal artery was selected as the vessel of entry into the carotid

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W. James Gardner, Jorge Angel and Nathaniel R. Hollister

was encountered from large branches of the superficial temporal artery entering the temporal muscle. This was controlled by the application of hemostats, electrocautery, and packing with gauze. The thoracic surgeon clamped the vessels at the aortic arch as the temporal muscle was cut across at the level of the zygoma. Despite this precaution, severe arterial bleeding occurred from both ends of the divided muscle. It was temporarily controlled by the application of hemostats, electrocautery and gauze packing beneath the zygoma. The divided temporal muscle was then

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Clinton R. Harrison and John B. Hearn

anterior branches of the superficial temporal artery and the ophthalmic artery. C. Between orbital branches of the middle meningeal artery and the ophthalmic artery. D. Between infraorbital branches of the internal maxillary artery and the ophthalmic artery. E. Between the middle meningeal artery and a meningeal branch of the internal carotid artery. F. Between inconstant branches perforating the dura mater to anastomose with arteries on the surface of the brain. III. Via anastomoses among end-arteries of the anterior, middle

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Julius H. Jacobson II, Lester J. Wallman, George A. Schumacher, Martin Flanagan, Ernesto L. Suarez and R. M. Peardon Donaghy

the superficial temporal artery with the anterior cerebral artery after the latter had been occluded following aneurysmal surgery. The tube successfully conducted blood from the external carotid system to that of the internal carotid system for at least an hour, as we could see, and then, of course, later thrombosed. This patient, incidentally, is still alive and perfectly well in spite of this procedure! Dr. Samuel P. W. Black : I wish to compliment the authors on this technical advance which I believe could have considerable consequence in the study of the

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Charles A. Carton, Milton D. Heifetz and Laibe A. Kessler

, as we anticipate, much of the risk of the procedure from hemorrhage would be obviated, since a reliable reparative technique would be available if error or catastrophe occurred. The method could supplement existing modalities of aneurysmal surgery. 6 For example, the aneurysm could be transected at its base and the resulting hole in the vessel roof-patched. Or, using an arterial or venous autograft † originating from the external carotid system (either in the neck or from the superficial temporal artery), 21 the aneurysm could be by-passed, or trapped, by

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Post-Traumatic Carotid Thrombosis

Report of a Case with Intensive Angiographic Study of the Collateral Circulation

Ibrahim Higazi

it may take many months for collateral circulation to develop to a final static stage 2. External carotid artery is displaying its important role in a convincing manner. Note especially: (a) Network of anastomoses between branches of middle meningeal and superficial temporal arteries on one side and “candelabra“ of middle meningeal artery on the other. The candelabra irrigates the deprived area through its posterior branch in a “fountain“-like fashion. (b) Occipital artery 3. Important and liberal anastomoses between posterior cerebral and