492 B(X)K REVIEWS large doses of EACA we have not had the success he has had in preventing second haemorrhages in bad risk patients awaiting surgery. The chief problems encountered in these attempts to secure thrombosis of aneurysms by stereotactic techniques are also seen clearly in the contribution from Alksne and Rand on metallic thrombosis of intracranial aneurysms. Their technique is also very ingenious but the problems are the same - incomplete thrombosis, early breakdown of a clot, and excessive thrombosis or embolization of distal vessels. Both these techniques are of great interest and seem to have considerable promise but at this m o m e n t their results seem too unpredictable for general acceptance.
Abad-Alegria F. Stereotaxic atlas of the rat brainstem. 63: 103-124, 1971. Abad-Alegria F. Stereotaxic atlas of the brain stem of the rat.
The same overall c o m m e n t applies to the technique of artificial embolization of cerebral arterio-venous malformations which Luessenhop discusses very fully, though some excellent results seem to have been achieved particularly in one case of an aneurysm on the vein of Galen. However some of the problems of the technique become apparent in his description of the difficulties encountered in treating a second similar case.
There is a very interesting account from Handa, Ohta and Kamijyo on the properties of plastic c o m p o u n d s used for encasing aneurysms. Of those presently available Biobond would appear the best. The chemistry is treated in a fashion understandable by the neurosurgeon and though the English tends to be quaint it is nonetheless fairly clear. Siddhant star one serial episodes.
There is a suggestion [page 152 ~b)] that a mono-molecular film of adhesives ought to be aimed at and that thick films are much weaker than thin films. This may be true of adhesiveness but in practice attempts to obtain excessively thin films lead to glue starvation and poor joint strengths. The o p t i m u m film thickness for epoxy adhesives is between 0.002 and 0.010 inches. In general, the book is well produced on good paper and with clear print. The reproduction of the angiograms with some exceptions is better' than is normally seen.
It is unfortunate that nearly all the articles contain a number of minor errors, largely misprints, which are annoying in a book of this class. There are also examples of diagrams and angiograms wrongly labelled which is more than annoying.
The speed with which the volume has been produced in order to keep abreast of surgical progress, as mentioned in the preface, is presumably responsible for these errors. All in all, this book can be recommended to the trainee neurosurgeon as a balanced account of present day practice and to the practising neurosurgeon because of its content of stimulating articles on various growing points. To my mind, there is one glaring omission and that is the absence of a definitive article on arterial spasm, both from the experimental and clinical aspects. This is surely the major problem in the surgery of subarachnoid haemorrhage at this time. GLL:AVE A Stereotaxic Atlas of the Developinq Rat Brain, both as photographs and annotated drawings; altogether 92 drawings are shown. The methodology is fully described and the quality of the illustrations is excellent. The nomenclature used is based on the revised Nomina Anatomica for the h u m a n brain.