Recommended Citation
Marrotte EJ, Mitsias P, Melvin L, Mahmood A, Tsivgoulis G, and Varelas P. Real-time detection of cerebral artery rebleeding by transcranial doppler ultrasound: Hemodynamic changes and response to treatment. J Clin Neurol 2017; 13(1): 109-111.
Document Type
Article
Publication Date
1-1-2017
Publication Title
J Clin Neurol
Abstract
Aneurysmal rupture and subsequent subarachnoid hemorrhage (SAH) lead to multiple complications including vasospasm, delayed cerebral ischemia, cerebral edema, and cerebral herniation. Transcranial Doppler ultrasound (TCD) is a noninvasive method for evaluating the blood flow velocities in intracranial vessels and the presence of vasospasm. An elevated intracranial pressure (ICP) leads to decreased mean and diastolic blood flow velocities and increased pulsatility index (PI), which can also be monitored in patients with SAH. We present a case report of a patient with SAH and a clipped aneurysm who rebled while undergoing a TCD study, and provide unique images, vitals graphs, and a video of the TCD study before and during the bleeding as well as after applying emergency treatment.
PubMed ID
27868398
Volume
13
Issue
1
First Page
109
Last Page
111
