Document Detail


Transtemporal power- and frequency-based color-coded duplex sonography of cerebral veins and sinuses.
MedLine Citation:
PMID:  9367330     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine the ability of transtemporal power- and frequency-based transcranial color-coded duplex sonography to aid in the assessment of cerebral veins and sinuses, as well as to provide reference data for flow direction and velocity. METHODS: Using a color duplex device equipped with a 2.0/2.5-MHz sector scan, we insonated 120 healthy volunteers and three patients with cerebral venous thrombosis. RESULTS: In subjects 20 to 59 years old, deep middle cerebral veins were identified in 88%, basal veins in 97%, straight sinuses in 60%, and transverse sinuses in 42%. The corresponding values for subjects 60 to 79 years old were 53%, 86%, 23%, and 20%, respectively. Velocities were highest in transverse and straight sinuses, slower in basal veins, and slowest in deep middle cerebral veins. Flow was directed lateromedially in the deep middle cerebral vein, rostrocaudally in the basal vein and straight sinus, and mediolaterally in the transverse sinus. Two patients with straight sinus thromboses showed reversed flow direction in the basal veins, and one patient with superior sagittal sinus thrombosis showed elevated velocities in a deep middle cerebral vein. CONCLUSION: Transtemporal power- and frequency-based color-coded duplex sonography enabled imaging and velocity measurements in deep cerebral veins in subjects 20 to 59 years old, but detection of the straight and transverse sinuses was low. In older subjects, only the basal vein was regularly assessed.
Authors:
R W Baumgartner; F Gönner; M Arnold; R M Müri
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  18     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-12-31     Completed Date:  1997-12-31     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1771-81     Citation Subset:  IM    
Affiliation:
Department of Neurology, University of Bern, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Flow Velocity / physiology
Cerebral Veins / ultrasonography*
Cranial Sinuses / ultrasonography*
Female
Humans
Image Processing, Computer-Assisted / instrumentation
Male
Middle Aged
Reference Values
Regional Blood Flow / physiology
Sinus Thrombosis, Intracranial / ultrasonography
Transducers
Ultrasonography, Doppler, Color / instrumentation*
Ultrasonography, Doppler, Transcranial / instrumentation*

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