Neuro-ultrasonography

被引：17
作者：
Hakimi, Ryan [1 ,2 ,3 ]
Alexandrov, Andrei V. [4 ]
Garami, Zsolt [5 ,6 ]
机构：
[1] Univ South Carolina, Prisma Hlth Upstate, Greenville Mem Hosp, Sch Med Greenville,Neuro ICU Serv, 200 Patewood Dr,Suite B350, Greenville, SC 29615 USA
[2] Univ South Carolina, Prisma Hlth Upstate, Greenville Mem Hosp, Sch Med Greenville,Inpatient Neurol Serv, 200 Patewood Dr,Suite B350, Greenville, SC 29615 USA
[3] Univ South Carolina, Prisma Hlth Upstate, Greenville Mem Hosp, Sch Med Greenville,TCD Serv, 200 Patewood Dr,Suite B350, Greenville, SC 29615 USA
[4] Univ Tennessee, Hlth Sci Ctr, Dept Neurol, 855 Monroe Ave,Suite 415, Memphis, TN 38163 USA
[5] Inst Acad Med, Res Inst, Houston, TX USA
[6] Weill Cornell Med Coll, Houston Methodist Hosp, Vasc Ultrasound Lab, 6550 Fannin St,Suite 1401, Houston, TX 77030 USA
来源：
NEUROLOGIC CLINICS | 2020年 / 38卷 / 01期
关键词：
TCD; Transcranial Doppler ultrasonography; Vasospasm; Neurosonology; Subarachnoid hemorrhage; Neurocritical care; Optic nerve sheath diameter; Emboli detection; ANEURYSMAL SUBARACHNOID HEMORRHAGE; DELAYED CEREBRAL-ISCHEMIA; ROBIN-HOOD SYNDROME; TRANSCRANIAL DOPPLER; DOUBLE-BLIND; BLOOD-FLOW; ARTERY; STROKE; VASOSPASM; WINDOW;
D O I：
10.1016/j.ncl.2019.09.006
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Transcranial Doppler ultrasonography (TCD) is a noninvasive, bedside, portable tool for assessment of cerebral hemodynamics. Modern TCD head frames allow continuous hands-free emboli detection for risk stratification and assessment of treatment efficacy in several cardiovascular diseases. Identifying a focal stenosis, arterial occlusion, and monitoring the treatment effect of intravenous tissue plasminogen activator can easily be accomplished by assessing TCD waveforms and determining prestenotic and poststenotic mean flow velocities. TCD is an excellent screening tool for vasospasm in aneurysmal subarachnoid hemorrhage. The use of intraoperative TCD during carotid endarterectomy and stenting allows optimal intraoperative hemodynamic management. Other applications are also discussed.
引用
收藏
页码：215 / +
页数：16
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