A SIMPLIFIED TECHNIQUE OF P H L E B O G R A P H Y 491

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BAUER, G. (1942). A roentgenological and clinical study of the sequels of thrombosis. Acta Chirugica Scandinavica, 86, Supplement 74.

~ORSCHBERG, E. (1967). The prevalence of varicose veins in the lower extremities. Published by S. Karger, Basel, Switzerland.

BRrrIsH MEDICAL JOURNAL, Leading Article (1970). The Hidden Perforating Veins. British Medical Journal, 1, 186.

BROWSE~ N. L., LEA THOMAS, M. & SOLAN, M. J. (1967). Management of the source of pulmonary emboli: the value of phlebography. British Medical Journal, 4, 596-597.

COCKETT, F. B. (1953). The practical uses of phlebography British Journal of Radiology, 26, 339-345.

COCKETT, F. B. & JONES, D. E. E. (1953). The ankle blow-out syndrome - a new approach to the varicose ulcer problem. Lancet, 1, 17-23.

DODD, H. & COCKETT, F. B. (1956). The pathology and surgery of the veins of the lower limb. Published by E. & S. Livingstone Ltd., p. 358.

GREITZ, T. (1955). Ascending phlebography in venous insufficiency. Acta Radiologica, 44, 145-162.

GtrLLMO, A. (1956). On the technique of phlebography of the lower limbs. Acta Radiologica, 55, 220-226.

HALLmAV, P. (1957). Intraosseous phlebography of the lower limbs. British Journal of Surgery, 54, 248-258.

I-IALLmAY, P. (1968). Phlebography of the lower linabs. British Journal of Surgery, 55, 220-226.

LEA THOMAS, M. (1970). Radiologieal diagnosis of deed vein thrombosis and its sequelae. Proceedings of the Royal Society of Medicine, 63, 123-126.

MASSELL, T. B. & ETT~NGER, J. (1948). Phlebography in the localisation of incompetent communicating veins in patients with varicose veins. Annals of Surgery, 127, 1217-1225.

MATmESON, F. R. (1953). Late results following 293 opera- tions for varicose veins - significance of surgical procedure and the communicating veins. Acta Chirugica Scandinavica, 105, 376-389.

MATntESON, F. R. (1959). Clinical manifestations of primary varicose veins I1 - an evaluation of incompetent com- municating veins diagnosed by tilting plalebography. Acta Chirugica Scandinavica, 117, 468-479.

PATEL, A. D., WILLIAMS, J. R.. & LLOYO W~LUAMS, K. (1970). Thermographic localisation of incompetent perforating veins. British Medical Journal, 1, 195-197.

ROSENBERG, N. & MARCHESZ, F. P. (1963). Perforator vein loealisation by heat emission detection. Surgery, 53, 575-578.

SI~RMAN, R. D. (1949). Varicose veins - further findings based on anatomic and surgical dissection. Annals of Surgery, 130, 218-232.

TOWNSEND, J., JONES, H. & WILLIAMS, J. E. (1967). Detec- tion of incompetent veins by venography at operation. British Medical Journal, 3, 583-585.

Ttn~NER-WARWICI,:, W. T. (1931). The rational treatment of varicose veins and varieocoele. Published by Faber and Faber, p. 60.

B O O K

Introduction to Neuroradiology by HAROLD O. PETERSON and STEPHEN A. KIEFFER. Published by Harper and Row, New York. Pp. 276. Illustrations 374. Price£15.00.

According to the preface, this book grew out of a chapter in the new loose-leaf edition of Baker's Clinical Neurology. The authors hope that it will serve as an introduction to the field of Neuroradiology for the student, intern, resident or practitioner in radiology, neurology or neurosurgery, and stimulate further interest in the subject, for which a fairly complete bibliography is included with the text. The book is very nicely produced, and the quality of the reproduction is excellent. The book covers plain film examination of the skull, arteriography, encephalography and myelography, and there are short sections on echo-encephalography, isotope studies and thermography. However some of the figures are several pages away from the corresponding text, and in some cases more use of diagrams alongside figures could be made, which would help the more inexperienced reader. In the angiography section, the lateral film lay-out does not always follow the convention of left and right, so that some are printed the wrong way round. Also, the lay-out of the text is not always clear, with no properly defined headings, but instead a continuous run of small paragraph headings lacking ordered classification. For example, in the

R E V I E W

section on abnormal intra-cranial calcification, tuberculosis is described first, which might lead the uninitiated to think this is the most common cause. Perhaps this is so, in the authors' experience, but this would not be true in many other clinics.

Some of the techniques advised would not always meet general agreement. For example, their preference for selective three or four vessel angiography via a transfemoral catheter, or alternatively a combination of direct carotid puncture and retrograde brachial studies, in the examination of cases of subarachnoid haemorrhage. The importance they attach to the use of a somersaulting chairs in encephalo- graphy overlooks the experience in many other centres where this examination has been carried out for years, and still is, quite adequately without such sophisticated apparatus. Their use of large quantities of Pantopaque in the range 36-60 ml. (or oven more) for outlining small lesions in the mid or lower thoracic spinal canal, might not be accepted elsewhere as necessary.

In summary, although there is much useful information in this book (the size of which is about right for the intended reader), there is bound to be some hesitation in its general recommendation, especially perhaps outside the country of its origin.

GORDON THOMPSON