Document Detail


Transcranial color-coded duplex sonography in suspected acute basilar artery occlusion.
MedLine Citation:
PMID:  16530089     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transcranial color-coded duplex sonography (TCDS) is a noninvasive, quick and inexpensive diagnostic tool used routinely to assess vascular abnormalities in cerebral ischemia. The value of TCDS for diagnosis and follow-up of acute basilar artery (BA) ischemia in comparison/combination with spiral CT angiography (CTA) and/or digital subtraction angiography (DSA) has not yet been studied. We prospectively studied 15 consecutive patients with clinically suspected acute BA occlusion (BAO) by TCDS as well as 3 to 5 d later in those with proven BAO. BA ischemia was verified in 11 patients. During follow-up, all BAO patients showed recanalization of the BA independent of thrombolytic treatment. In conclusion, TCDS appears to be an efficient method for BAO diagnosis when immediate angiography is not available. Together with CTA it increases diagnostic safety before performing an invasive and cost-intensive DSA.
Authors:
Pawel Kermer; Andreas Wellmer; Olaf Crome; Alexander Mohr; Michael Knauth; Mathias Bähr
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ultrasound in medicine & biology     Volume:  32     ISSN:  0301-5629     ISO Abbreviation:  Ultrasound Med Biol     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-13     Completed Date:  2006-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0410553     Medline TA:  Ultrasound Med Biol     Country:  England    
Other Details:
Languages:  eng     Pagination:  315-20     Citation Subset:  IM    
Affiliation:
Department of Neurology, University Hospital Göttingen, Robert-Koch-Str. 40, 37075 Göttingen, Germany. pkermer@gwdg.de
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aged, 80 and over
Angiography, Digital Subtraction
Arterial Occlusive Diseases / radiography,  therapy,  ultrasonography*
Basilar Artery / radiography,  ultrasonography*
Female
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Regional Blood Flow
Thrombolytic Therapy
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color / methods*
Ultrasonography, Doppler, Transcranial / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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