Estimation of Brain Death Using Transcranial Doppler Sonography

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Estimation of Brain Death Using Transcranial Doppler Sonography

Takuo HASHIMOTO, M.D.,Toshinori KANKI,M.D.,Satoshi ABE, M.D. Norio NAKAMURA, M.D. Department. of Neurosurgery, The Jikei University School of Medicine (Received 4 September 1989, Accepted 10 January 1990) Abstract Flow patterns of the velocity measured by transcranial Doppler(TCD) were compared with the changes of intracranial pressure(ICP) in patient with subarachnoid hemorrhage and severe hea...

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Role of Transcranial Doppler Sonography in Confirmation of Brain Death

The aim of the study was to determine the specificity and sensitivity of Transcranial Doppler Sonography (TCD) as a confirmatory test for diagnosis of brain death and to assess the possibility of adding this test to the protocol for diagnosis of brain death in ICU. TCD examination was done in 20 patients (group I) with brain death confirmed either by clinical assessment and EEG (17 patients) or...

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Diagnosis of brain death by transcranial Doppler sonography.

Delays in diagnosis of brain death have definite consequences for the organ retrieval and transplantation process. It is advisable to use accurate diagnostic methods. Transcranial Doppler sonography is a well-accepted technique for diagnosing cerebral circulatory arrest. However, in some cases, the access to the intracranial circulation via the temporal window is difficult. In 43 brain-dead pat...

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Diagnosis of brain death by transcranial Doppler sonography

The blood flow velocities in the basal cerebral arteries can be recorded at any age by transcranial Doppler sonography. We examined nine children with either initial or developing clinical signs of brain death. Soon after successful resuscitation increased diastolic flow velocities indicated a probable decrease in cerebrovascular resistance; this was of no particular prognostic importance. As s...

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Coregistration of transcranial Doppler - sonography and EEG in the diagnostic procedures of detection of brain death

Brain death (BD) diagnosis is the clinical assessment of the irreversible loss of function of the entire brain, including the brainstem. Transcranial Doppler (TCD) examination is used in several countries as a confirmatory test to assess cerebral circulatory arrest (CCA), but is not feasible in patients with absent temporal bone windows. TCD is highly specific, but less sensitive because of fal...

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ژورنال

عنوان ژورنال: Neurosonology

سال: 1990

ISSN: 0917-074X,1884-3336

DOI: 10.2301/neurosonology.3.26