The role of transcranial Doppler ultrasonography in the diagnosis and management of vasospasm after aneurysmal subarachnoid hemorrhage

Scott A Marshall; Paul Nyquist; Wendy C Ziai

doi:10.1016/j.nec.2009.10.010

The role of transcranial Doppler ultrasonography in the diagnosis and management of vasospasm after aneurysmal subarachnoid hemorrhage

Neurosurg Clin N Am. 2010 Apr;21(2):291-303. doi: 10.1016/j.nec.2009.10.010.

Authors

Scott A Marshall¹, Paul Nyquist, Wendy C Ziai

Affiliation

¹ Division of Neurosciences Critical Care, Departments of Anesthesiology Critical Care Medicine, Johns Hopkins University School of Medicine, Meyer 8-140, 600 North Wolfe Street, Baltimore, MD 21287, USA. [email protected]

PMID: 20380971
DOI: 10.1016/j.nec.2009.10.010

Abstract

Transcranial Doppler ultrasonography (TCD) is a tool employed by the neurosurgeon and neurointensivist in the management of vasospasm in the intensive care unit after aneurysmal subarachnoid hemorrhage. A review of the current indications, monitoring parameters, indices, and relevance of modern TCD technology is provided, as well as algorithms for the use of TCD ultrasonography in the management of patients with subarachnoid hemorrhage. Other current uses of TCD ultrasonography are also discussed in the setting of neurocritical care.

Publication types

Review

MeSH terms

Algorithms
Brain Death / diagnostic imaging
Brain Injuries / diagnostic imaging
Brain Injuries / physiopathology
Cerebral Arteries / diagnostic imaging*
Cerebral Arteries / physiopathology
Cerebrovascular Circulation / physiology
Humans
Predictive Value of Tests
Sex Characteristics
Subarachnoid Hemorrhage / complications*
Ultrasonography, Doppler, Transcranial / methods*
Ultrasonography, Doppler, Transcranial / standards
Ultrasonography, Doppler, Transcranial / trends
Vasospasm, Intracranial / diagnostic imaging*
Vasospasm, Intracranial / physiopathology
Vasospasm, Intracranial / therapy