scholarly journals Transcranial Doppler

2015 ◽  
Vol 02 (03) ◽  
pp. 215-220
Author(s):  
Manish Marda ◽  
Hemanshu Prabhakar

AbstractTranscranial Doppler (TCD) is a bedside, non-invasive, reproducible, non-expensive neuromonitoring device which can be used in many clinical scenarios. Based on the principle of the Doppler shift, blood flow velocity (FV) in the cerebral vessels can be measured. It should be noted that TCD measures blood FV and not the cerebral blood flow (CBF). However, in a given condition, FV can be used as a surrogate marker for vessel diameter or CBF. Indirectly, it can also measure the CBF and the intracranial pressure. This review describes briefly the method of using the equipment and the various indices that can be measured. The applications of TCD are varied. The review also gives an account of the various clinical situations where TCD can be used. An inter-operator variability is an important limiting factor with the use of the TCD. However, in many of clinical scenario, the TCD can still be used to guide for decision-making.

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3012-3017
Author(s):  
Igor Petrušić ◽  
Ana Podgorac ◽  
Aleksandra Radojičić ◽  
Jasna Zidverc-Trajković

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.


1989 ◽  
Vol 3 (5) ◽  
pp. 68 ◽  
Author(s):  
J. van der Linden ◽  
Ö. Wesslen ◽  
H. Tydén ◽  
R. Ekroth ◽  
H. Ahn

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