[Diagnostic and therapeutic value of Seldinger's technique angiography in 200 neurological patients (author's transl)].

A retrospective study of 200 patients with various neurological diseases who had been investigated by Seldinger's technique cerebral or medullar angiography (STA) was undertaken with the view of evaluating the effective contribution of this technique to diagnosis and treatment. On the whole, STA gave positive results in 106 cases, doubtful results in 15 cases and negative, yet often useful, results in 79 cases. It proved more helpful in establishing the cause (120/200 cases) than the location (117/200 cases) of the lesions and contributed to the therapeutic decision in only 36 patients, latrogenic complications included 1 death from locked-in syndrome, 10 neurological disorders and 4 local reactions. However, the diagnostic and therapeutic value of Seldinger's technique angiography cannot be properly assessed owing to uncertainties surrounding each criterium of judgement.