A catamnestic follow-up was carried out of 70 patients presenting with recurrent cerebral circulatory disorders (CCD). Of these, 35 were patients operated on, with other 35 on drug therapy only. A comparative characterization of catamnesis of patients with stenosis of intracranial portions of internal carotid artery (ICA), operated- and non-operated on, showed that recurrent ischemic insult occurs three times as frequently among the nonoperated--on patients than it does among those operated on, with recurrent transitory CCD being seen only in the patients nonoperated on. Surgical removal of stenosing lesion of ISA prevents the recurrent CCD in 60% of cases. Drug therapy of CCD in stenosing lesions of extracranial portions of ICA is not much help, for no medical agent is capable of eliminating the gross deformation of vessels.
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