scholarly journals STUDY OF THE CEREBRAL HEMODYNAMICS AND CEREBROVASCULAR REACTIVITY IN PATIENTS WITH VERTEBROGENIC CERVICOCRANIALGIA

2017 ◽  
Vol 3 (4) ◽  
pp. 185-189
Author(s):  
Valeriy Kalashnikov
Keyword(s):  
Blood Flow ◽  
Transcranial Doppler ◽  
Doppler Sonography ◽  
Transcranial Doppler Sonography ◽  
Cervicogenic Headache ◽  
Cerebral Hemodynamics ◽  
Cerebrovascular Reactivity ◽  
X Ray ◽  
Vertebral Arteries ◽  
Original Observation

The application of the Transcranial Doppler sonography in patients with cervicocranialgia  is discussed. The review of the  original observation of the state of the arterial and vemous cerebral hemodynamics and cerebrovascular reactivity  in these patients is presented.    The authors performed clinical and Doppler sonography examinations of 148 patients with cervicocranialgia aged 18 to 45 years. According to the Doppler examination, patients mainly presented with cervicocranialgia ,     increased velocity parameters and functional asymmetries of blood flow in the basilar and vertebral arteries.  Patients with cervicocranialgia  had excessive blood supply in vertebral veins  and direct sinus. Hyperreactivity in vertebral veins  and direct sinus  during orthostatic load is probably associated with the impaired regulation of cerebral blood flow at neurogenic level.Key words: Cervicogenic headache, cervicocranialgia, Transcranial Doppler sonography,  cerebral hemodynamics, cerebrovascular reactivity. functional X-ray study of cervical spine. Калашников В.И.ЦЕРЕБРАЛЬНА ГЕМОДИНАМІКА ТА ЦЕРЕБРОВАСКУЛЯРНА РЕАКТИВНІСТЬ У ХВОРИХ НА ВЕРТЕБРОГЕННУ ЦЕРВІКОКРАНІАЛГІЮ Обговорюється застосування транскраніальної доплерографії у пацієнтів з цервікокраніалгією. Представлені результати власних досліджень стану артеріальної та венозної церебральної гемодинаміки та цереброваскулярної реактивності у даних пацієнтів. Проведено клінічне та допплерографічне  обстеження 148 пацієнтів у віці від 18 до 45 років з цервікокраніалгією. За даними допплерографічного дослідження у пацієнтів з цервікокраніалгією переважають підвищення швидкісних показників та  функціональна асиметрія кровоплину в базилярної і хребетних артеріях. У пацієнтів з цервікокраніалгією відзначалося надлишкове кровонаповнення в хребетних венах і прямому синусі. Гіперреактивність в хребетних венах і прямому синусі на тлі ортостатичного навантаження, імовірно, пов'язана зі змінами нейрогенної ланки регуляції церебрального кровоплину.Ключові слова. Цервікогенний головний біль, цервікокраніалгія, транскраніальна допплерографія, церебральна гемодинаміка, цереброваскулярна реактивність, функціональне рентгенографічне дослідження шийного відділу хребта.      Калашников В.И.ЦЕРЕБРАЛЬНАЯ ГЕМОДИНАМИКА И ЦЕРЕБРОВАСКУЛЯРНАЯ РЕАКТИВНОСТЬ У БОЛЬНЫХ С ВЕРТЕБРОГЕННОЙ ЦЕРВИКОКРАНИАЛГИЕЙОбсуждается применение транскраниальной допплерографии у пациентов с цервикокраниалгией. Представлены результаты собственных исследований состояния артериальной и венозной церебральной гемодинамики и цереброваскулярной реактивности у данных пациентов. Проведено клиническое и допплерографическое обследование 148 пациентов в возрасте от 18 до 45 длет с цервикокраниалгией.    По данным допплерографического исследования у пациентов с цервикокраниалгией преобладают повышении скоростных показателей  и функциональная асимметрия кровотока в базилярной и позвночных артериях.    У пациентов с цервикокраниалгией отмечалось избыточное кровенаполнение в позвоночных венах и прямом синусе. Гиперреактивность в  позвоночных венах и прярмом синусе на фоне ортостатической нагрузки, предположительно, связана с изменениями нейрогенного звена регуляции церебрального кровотока. Ключевые слова. Цервикогенная головная боль, цервикокраниалгия, транскраниальная допплерография, церебральная гемодинамика, цереброваскулярная реактивность, функциональное рентгенографическое исследование шейного отдела позвоночника.

scholarly journals Changes of blood flow velocity indicating mechanical compression of the vertebral arteries during rotation of the head in the normal human measured with transcranial Doppler sonography

1995 ◽  
Vol 53 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Sandro Rossiti ◽  
Reinhard Volkmann
Keyword(s):  
Blood Flow ◽  
Flow Velocity ◽  
Transcranial Doppler ◽  
Blood Flow Velocity ◽  
Doppler Sonography ◽  
Transcranial Doppler Sonography ◽  
Neutral Position ◽  
Vertebral Arteries ◽  
Flow Reserve ◽  
Vertebrobasilar Artery

The dynamical changes of blood flow velocity of the intracranial vertebral arteries (VA's) and proximal basilar artery (BA) provoked by rotation of the head in normal volunteers were measured using pulsed-wave transcranial Doppler sonography (TCD). In another group both VA's were examined simultaneously with 2-channel TCD. Blood flow velocities diminished compared to the neutral position in all vessels, independently of die side. Total obstruction of the flow was not observed. Our findings reveal a definitive decrease of blood flow velocity at the vertebrobasilar artery system provoked by rotation of the head in normal humans. This physiological phenomenon is suggested to have an impact on the cerebral blood flow in patients with impaired autoregulation of the cerebral vessels, low volume flow reserve in the contralateral VA or insufficient collateral channels because of normal anatomical variation, especially those patients under general anesthesia or comatose.

scholarly journals Transcranial Doppler Evaluation of the Cerebral Vasculature in Women Patients who Have Migraine with Aura

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3012-3017
Author(s):  
Igor Petrušić ◽  
Ana Podgorac ◽  
Aleksandra Radojičić ◽  
Jasna Zidverc-Trajković
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Migraine With Aura ◽  
Transcranial Doppler ◽  
Cerebral Blood Flow Velocity ◽  
Cerebral Arteries ◽  
Transcranial Doppler Sonography ◽  
Cerebrovascular Reactivity ◽  
Breath Holding ◽  
Left And Right

Abstract Background Previous studies suggest that increased cerebrovascular reactivity might be a feature of patients who have migraine with aura (MwA). The correlation between the clinical presentation of migraine with aura and transcranial Doppler parameters remains unclear. Objective The main aim of this study was to explore cerebral blood flow, vascular resistance, and cerebrovascular reactivity in women MwA. Also, the relationships between hemodynamic conditions and aura characteristics are examined. Design Cross-sectional study. Setting Headache Center, Neurology Clinic, Clinical Center of Serbia. Subjects Fifty-four women MwA and 49 healthy controls (HCs). Methods Transcranial Doppler sonography examination was used to determine blood flow mean velocity (MV) and pulsatility index (PI), as well as breath-holding index (BHI), in 15 arterial segments comprising the circle of Willis. Results A total of 54 women MwA and 49 HCs were studied. The PIs of all segments of the left and right middle cerebral arteries and the left and right anterior cerebral arteries were significantly higher in MwA with regards to HCs. Also, both the left and right BHIs were significantly higher in MwA than HCs. In addition, MVs of the right vertebral artery and the first segment of the basilar artery were significantly lower in MwA than HCs. Longer duration of migraine aura showed a weak negative correlation with the PI of the left posterior cerebral artery. Conclusions Our findings suggest increased vessel pulsatility, abnormal cerebrovascular reactivity, and decreased cerebral blood flow velocity in several arterial segments of the Willis circle in women MwA.

Cerebral Blood Flow in Migraine with Aura: A Transcranial Doppler Sonography Study

1992 ◽  
Vol 32 (9) ◽  
pp. 446-451 ◽  
Author(s):  
Rocco Totaro ◽  
Giorgio De Matteis ◽  
Carmine Marini ◽  
Massimiliano Prencipe
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Migraine With Aura ◽  
Transcranial Doppler ◽  
Doppler Sonography ◽  
Transcranial Doppler Sonography

TRANSCRANIAL DOPPLER SONOGRAPHY IN CORRELATION TO 3D CT Xe CEREBRAL BLOOD FLOW

1992 ◽  
Vol 77 (Supplement) ◽  
pp. A165
Author(s):  
P. Brauer ◽  
W. A. Kofke ◽  
C. Werner ◽  
E. Kochs ◽  
M. Bloom ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Transcranial Doppler ◽  
Doppler Sonography ◽  
Transcranial Doppler Sonography ◽  
3D Ct

Cerebral hemodynamics in schizophrenia during the Trail Making Test: A functional transcranial Doppler sonography study

2016 ◽  
Vol 33 (S1) ◽  
pp. S107-S107 ◽  
Author(s):  
D. Schuepbach ◽  
S. Egger ◽  
S.C. Herpertz
Keyword(s):  
Transcranial Doppler ◽  
Negative Symptoms ◽  
Doppler Sonography ◽  
Cerebral Blood Flow Velocity ◽  
Cerebral Arteries ◽  
Transcranial Doppler Sonography ◽  
Cerebral Hemodynamics ◽  
Trail Making Test ◽  
Trail Making ◽  
Functional Transcranial Doppler Sonography

IntroductionSchizophrenia is a severe mental disorder, with complex symptoms involving psychosis, negative symptoms and cognitive impairment. The Trail Making Test (TMT) has been widely used to assess attention and executive function. Functional transcranial Doppler sonography (fTCD) of basal cerebral arteries allows monitoring of aberrant cerebral hemodynamics during cognitive tasks in this patient group.ObjectivesWe assessed cerebral hemodynamics in the middle cerebral arteries (MCA) using fTCD while patients with schizophrenia and healthy subjects performed the TMT and a control task.MethodsFifteen patients with chronic schizophrenia and 15 healthy controls performed the TMT-A and -B during fTCD measurements of the MCA. Dependent measures were performance, mean cerebral blood flow velocity (MFV) and the lateralization.ResultsPatients demonstrated an overall decreased speed of solution (P = 0.002), and there was no significant effect of age. They showed a significantly increased flow pattern for the TMT-B (P = 0.005). There were no lateralization differences between diagnostic groups.ConclusionsThere was a performance deficit in patients with schizophrenia for both TMT-A and -B that fits well with results of existing literature. The aberrant hemodynamic response supports the idea that cognitive performance elicits an aberrant cerebral hemodynamic correlate. It adds to the notion that fTCD is a valuable tool to correlate psychological paradigms with brain perfusion in patients with schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Sign in / Sign up

Export Citation Format

Share Document