Document Detail


Diagnosis and monitoring of subarachnoid hemorrhage by transcranial color-coded real-time sonography.
MedLine Citation:
PMID:  2067602     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-six patients with acute spontaneous subarachnoid hemorrhage (26 caused by rupture of an aneurysm) were examined by transcranial color-coded real-time sonography by using a 2.25-MHz ultrasound transducer. In 20 of these 26 patients (76%), the aneurysm could be identified by a characteristic abnormal blood flow pattern within the aneurysm in coronal and axial scanning planes by transcranial color-coded real-time sonography. Blood within the basal cisterns, on top of the tentorium, and within the ventricles and parenchyma was sonographically detected by increased echodensity in 75%. In addition, cerebrospinal fluid circulation disturbances and cerebral vasospasm were detected in two-dimensional B-mode images in 85% and 100%, respectively. In Doppler mode, intravascular blood flow velocity could be quantified. We conclude that transcranial color-coded real-time sonography, a new, noninvasive method for diagnosis and follow-up of patients with subarachnoid hemorrhage, allows detection of the primary vascular lesion and monitoring of complications.
Authors:
G Becker; K Greiner; B Kaune; J Winkler; A Brawanski; M Warmuth-Metz; U Bogdahn
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  28     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-08-13     Completed Date:  1991-08-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  814-20     Citation Subset:  IM    
Affiliation:
Department of Neurology, Julius-Maximilians Universität Würzburg, Federal Republic of Germany.
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity
Brain Edema / etiology,  radiography,  ultrasonography
Brain Ischemia / etiology,  radiography,  ultrasonography
Cerebrovascular Circulation
Color
Female
Follow-Up Studies
Humans
Hydrocephalus / etiology,  radiography,  ultrasonography
Intracranial Aneurysm / complications,  ultrasonography
Ischemic Attack, Transient / etiology,  ultrasonography
Male
Middle Aged
Monitoring, Physiologic
Rupture, Spontaneous
Subarachnoid Hemorrhage / complications,  ultrasonography*
Tomography, X-Ray Computed

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