El eco-doppler color transcraneal en el estudio vascular cerebral

Domínguez, Jéssica Fernández; Martínez-Sánchez, Patricia; Rodríguez, R. García; Marcos, Valentín Mateos; Valdueza, José M.

doi:10.1016/j.neuarg.2012.02.002

Cited by 2 publications

(2 citation statements)

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“…It is possible to classify these alterations according to the thrombolysis in brain ischemia (TIBI) scale or the consensus on grading intracranial flow obstruction (COGIF) scale, which will serve to assess the direct recanalization during fibrinolysis. [19][20][21] In the presence of a carotid obstruction due to an atheromatous plaque or trauma, a decrease in the speed of the ipsilateral MCA, an inversion of the flow of the ipsilateral ACA, an inversion of the flow of the ipsilateral ophthalmic artery, and a flow through the ACoA should be observed toward the injured side, and a generalized increase in speeds on the contralateral side. 21 Given these findings, CCD ultrasound would be performed to confirm the existence of a carotid obstruction that would be classified according to the percentage of obstruction consistent to the velocity of the obstruction.…”

Section: Clinical Applications Of Ultrasonography In the Neurocritical Patient Cerebral Vascular Pathologymentioning

confidence: 99%

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Clinical Applications of Ultrasonography in Neurocritically Ill Patients

Caballero-Lozada

Nanwani-Nanwani

Pavón

et al. 2020

J Intensive Care Med

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Ultrasonography is part of the multimodal monitoring of the neurocritical patient. Through transcranial color Doppler ultrasound, carotid-color Doppler ultrasound, and ocular ultrasound it is possible to diagnose and monitor a multitude of pathological conditions, such as cerebrovascular events, vasospasm, Terson syndrome, carotid atheromatosis, and brain death. Furthermore, these techniques enable the monitoring of the intracranial pressure, the cerebral perfusion pressure, and the midline deviation, which allows us to understand the patient’s neurocritical pathology at their bedside, in a noninvasive way. Although none of these tools have yet been shown to improve patient prognosis, the dissemination of knowledge and management of neurovascular ultrasonography could significantly improve the comprehensive management of neurocritical patients.

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