In a prospective (uncontrolled) study on 60 patients with cerebro-vascular insufficiency the possibility of a standardized diagnostics and therapy under the conditions of a peripheral medical care hospital are tested. Issuing from national and international publications as well as from own experiences a unique approach in the medical clinic of the County Hospital of Stralsund was tried. For the documentation a data form was developed. In the centre of the diagnostics stood clinical examination, ophthalmological examination, lumbar puncture and cerebral angiography, in the centre of the therapy haemodilution and physiotherapy. The average lethality was 47%, the proportion of the patients younger than 60 years 25%. 82% of the patients suffered from ischaemic insults. Under the conditions mentioned the approach demonstrated is a possible way with satisfying results.
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