Clinical Neurosurgery

This annual will appeal to all surgical neurologists but should also be read by vascular surgeons and all who are interested in cerebral vascular disease. Particular emphasis is placed on cerebral revascularization, the new technique of anastomosing branches of the external carotid system to branches of the intracranial arteries to improve the blood supply to the cerebrum and cerebellum. Clinical evaluation and epidemiology of stroke, stroke in children, cardiac factors in stroke, hypertensive brain hemorrhage, diagnosis with radionuclide angiography, and complications of endarterectomy and aneurysm surgery have relevance for internists and pediatricians. Other chapters deal with complications of neurosurgical procedures not only in local problems such as CSF leaks, infection, and bleeding, but also in the more general pulmonary, fluid, and electrolyte problems. An insurance executive and two lawyers contribute chapters on malpractice insurance and litigation, and there is the more personal experience with malpractice litigation described by the Honored