
Transcranial Doppler: Techniques and advanced applications: Part 2
Author(s) -
Arvind Sharma,
Lokesh Bathala,
Amit Batra,
Man Mohan Mehndiratta,
Vijay Kumar Sharma
Publication year - 2016
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.173407
Subject(s) - transcranial doppler , medicine , vasospasm , subarachnoid hemorrhage , shunt (medical) , intracranial pressure , hemodynamics , cardiology , radiology
Transcranial Doppler (TCD) is the only diagnostic tool that can provide continuous information about cerebral hemodynamics in real time and over extended periods. In the previous paper (Part 1), we have already presented the basic ultrasound physics pertaining to TCD, insonation methods, and various flow patterns. This article describes various advanced applications of TCD such as detection of right-to-left shunt, emboli monitoring, vasomotor reactivity (VMR), monitoring of vasospasm in subarachnoid hemorrhage (SAH), monitoring of intracranial pressure, its role in stoke prevention in sickle cell disease, and as a supplementary test for confirmation of brain death.