To the Editor: We read with interest the article by Wang et al1 regarding the use of transcranial Doppler sonography to assess middle cerebral artery flow parameters in patients with serious brain injury. The importance of developing noninvasive techniques to monitor intracranial pressure in patients at risk of developing raised intracranial pressure remains challenging, but if achieved, they h...

Usefulness of transcranial Doppler-derived cerebral hemodynamic parameters in the noninvasive assessment of intracranial pressure. Author Wakerley BR1, Kusuma Y, Yeo LL, Liang S, Kumar K, Sharma AK, Sharma VK. Content/Summary Abstract BACKGROUND: Transcranial Doppler (TCD) ultrasonography is a noninvasive bedside tool that can evaluate cerebral blood flow hemodynamics in major intracranial arte...

Transcranial Doppler ultrasound is able to demonstrate cerebral circulatory arrest associated to brain death, being especially useful in sedated patients, or in those in which complete neurological exploration is not possible. Transcranial Doppler ulstrasound is a portable, noninvasive and high-availability technique. Among its limitations, mention must be made of the absence of acoustic window...

Objective: Vertebral and basilar artery stenosis is one of the main reasons causing posterior circulation ischemia. In this study, we evaluated the effectiveness of Brain Electrical Activity Mapping (BEAM) and Transcranial Doppler (TCD) in assessing the functional improvement of the vertebral basilar artery stenosis after endovascular stenting. Methods: Forty patients with vertebral and basilar...

Eagle syndrome is caused by an elongated styloid process or calcified stylohyoid ligament. The stylocarotid variant with neurologic symptoms is rare and presents a diagnostic challenge. Patients may present with transient ischemic attacks, syncope, or less well defined symptoms like episodic dizziness. We report use of vascular laboratory testing in the management of Eagle syndrome. In one pati...

Background and Objective Cerebral microembolism detectedd by transcranial Doppler

BACKGROUND AND PURPOSE Delayed cerebral ischemia and vasospasm are significant complications following SAH leading to cerebral infarction, functional disability, and death. In recent years, CTA and CTP have been used to increase the detection of delayed cerebral ischemia and vasospasm. Our aim was to perform comparative-effectiveness and cost-effectiveness analyses evaluating CTA and CTP for de...

BACKGROUND AND PURPOSE Increased transcranial Doppler velocities and regional cerebral perfusion defects have been well demonstrated in patients with subarachnoid hemorrhage, but the clinical significance of these changes has not been clearly defined, particularly in the presymptomatic stage of cerebral vasospasm. We have tested the hypothesis that a rapid, massive rise in Doppler velocity deno...

Contrast echocardiography has been shown to be a sensitive method for detecting patent foramen ovale in embolic stroke, implying paradoxical embolization. However, not all two-dimensional echocardiographic studies are of diagnostic quality, and direct evidence for paradoxical cerebral embolization remains lacking. We addressed these problems by simultaneously using transcranial Doppler ultrasou...