Neuro-ultrasonography

Ryan Hakimi; Andrei V. Alexandrov; Zsolt Garami

doi:10.1016/j.ncl.2019.09.006

Neuro-ultrasonography

Ryan Hakimi, Andrei V. Alexandrov, Zsolt Garami

Research output: Contribution to journal › Review article › peer-review

19 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	215-229
Number of pages	15
Journal	Neurologic Clinics
Volume	38
Issue number	1
DOIs	https://doi.org/10.1016/j.ncl.2019.09.006
State	Published - Feb 2020

Keywords

Emboli detection
Neurocritical care
Neurosonology
Optic nerve sheath diameter
Subarachnoid hemorrhage
TCD
Transcranial Doppler ultrasonography
Vasospasm
Subarachnoid Hemorrhage/diagnostic imaging
Humans
Ultrasonography, Doppler, Transcranial/methods
Vasospasm, Intracranial/diagnostic imaging
Tissue Plasminogen Activator/administration & dosage
Intracranial Embolism/diagnostic imaging

ASJC Scopus subject areas

Clinical Neurology

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10.1016/j.ncl.2019.09.006

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title = "Neuro-ultrasonography",

abstract = "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.",

keywords = "Emboli detection, Neurocritical care, Neurosonology, Optic nerve sheath diameter, Subarachnoid hemorrhage, TCD, Transcranial Doppler ultrasonography, Vasospasm, Subarachnoid Hemorrhage/diagnostic imaging, Humans, Ultrasonography, Doppler, Transcranial/methods, Vasospasm, Intracranial/diagnostic imaging, Tissue Plasminogen Activator/administration & dosage, Intracranial Embolism/diagnostic imaging",

author = "Ryan Hakimi and Alexandrov, {Andrei V.} and Zsolt Garami",

year = "2020",

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doi = "10.1016/j.ncl.2019.09.006",

language = "English (US)",

volume = "38",

pages = "215--229",

journal = "Neurologic Clinics",

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number = "1",

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T1 - Neuro-ultrasonography

AU - Hakimi, Ryan

AU - Alexandrov, Andrei V.

AU - Garami, Zsolt

PY - 2020/2

Y1 - 2020/2

N2 - 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.

AB - 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.

KW - Emboli detection

KW - Neurocritical care

KW - Neurosonology

KW - Optic nerve sheath diameter

KW - Subarachnoid hemorrhage

KW - TCD

KW - Transcranial Doppler ultrasonography

KW - Vasospasm

KW - Subarachnoid Hemorrhage/diagnostic imaging

KW - Humans

KW - Ultrasonography, Doppler, Transcranial/methods

KW - Vasospasm, Intracranial/diagnostic imaging

KW - Tissue Plasminogen Activator/administration & dosage

KW - Intracranial Embolism/diagnostic imaging

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U2 - 10.1016/j.ncl.2019.09.006

DO - 10.1016/j.ncl.2019.09.006

M3 - Review article

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SN - 0733-8619

VL - 38

SP - 215

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JO - Neurologic Clinics

JF - Neurologic Clinics

IS - 1

ER -

Neuro-ultrasonography

Abstract

Keywords

ASJC Scopus subject areas

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