Advances in transcranial Doppler ultrasonography

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

Transcranial Doppler ultrasonography (TCD) is the only noninvasive real-time neuroimaging modality for the evaluation of characteristics of blood flow in basal intracerebral vessels that adds physiologic information to structural imaging. TCD has been rapidly evolving from a simple noninvasive diagnostic tool to an imaging modality with a broad spectrum of clinical applications. In acute stroke, TCD can provide rapid information about vascular stenosis and occlusion, the hemodynamic status of the cerebral circulation, and real-time monitoring of recanalization. Extended applications such as vasomotor reactivity testing, emboli monitoring, and right-to-left shunt detection help clinicians ascertain stroke mechanisms at the bedside, plan and monitor treatment, and determine prognosis. In the neurointensive care unit, TCD is useful for detecting increased intracranial pressure and confirming cerebral circulatory arrest. TCD is of established value for screening children with sickle cell disease and detecting and monitoring vasospasm after spontaneous subarachnoid hemorrhage.

Original languageEnglish (US)
Pages (from-to)46-54
Number of pages9
JournalCurrent Neurology and Neuroscience Reports
Volume9
Issue number1
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

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Doppler Transcranial Ultrasonography
Cerebrovascular Circulation
Stroke
Intracranial Pressure
Sickle Cell Anemia
Subarachnoid Hemorrhage
Embolism
Neuroimaging
Blood Vessels
Pathologic Constriction
Hemodynamics

All Science Journal Classification (ASJC) codes

  • Neuroscience(all)
  • Clinical Neurology

Cite this

Advances in transcranial Doppler ultrasonography. / Tsivgoulis, Georgios; Alexandrov, Andrei; Sloan, Michael A.

In: Current Neurology and Neuroscience Reports, Vol. 9, No. 1, 01.01.2009, p. 46-54.

Research output: Contribution to journalArticle

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