Transcranial Doppler ultrasonography in raised intracranial pressure and in intracranial circulatory arrest.

Abstract:

:Transcranial Doppler ultrasonography was used to monitor 71 patients suffering from intracranial hypertension with subsequent brain death. Among these, 29 patients were also assessed for systemic arterial pressure and epidural intracranial pressure, so that a correlation between cerebral perfusion pressure and the Doppler ultrasonography waveforms could be established. Four-vessel angiography was also performed in 33 patients after clinical brain death. With increasing intracranial pressure, the transcranial Doppler ultrasonography waveforms exhibited different characteristic high-resistance profiles with first low, then zero, and then reversed diastolic flow velocities, depending on the relationship between intracranial pressure and blood pressure (that is, cerebral perfusion pressure). This study shows that transcranial Doppler ultrasonography may be used to assess the degree of intracranial hypertension. This technique further provides a practicable, noninvasive bedside monitor of therapeutic measures.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Hassler W,Steinmetz H,Gawlowski J

subject

Has Abstract

pub_date

1988-05-01 00:00:00

pages

745-51

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

68

pub_type

杂志文章
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