[The diagnosis and treatment of chronic cerebrovascular insufficiency in atherosclerotic stenosis or occlusion of the carotid artery].

The methods of diagnosis and treatment of chronic cerebro-vascular insufficiency in atherosclerotic stenosis or occlusion of the carotid artery are described. Ambulatory examinations were performed in 62000 patients. Clinical and psychological tests were used in examining 123 patients with ischemic brain disease. The present-day diagnostic methods were used in treatment of 1100 patients (clinical tests, CT, MRT, EEG, Ag, TCD). Operations were performed on 546 patients (carotid endarterectomy, extracranial-intracranial bypass). Results of operations for making the extra-intracranial microvascular bypasses for revascularization of the ischemic hemisphere were estimated as positive. Direct correlations were found between the structural-functional state of the CNS and the degree of neurological deficiency. The 1-13 years follow-up allows a conclusion to be made that surgical treatment is more perspective than conservative methods.