A Case of Transcranial Duplex Scanning of Cerebral Arteries in a Patient with Neurotrauma

There has been described a clinical case to demonstrate the capabilities of transcranial duplex scanning (TCDS) in brain death diagnosis. The feature of the technique is the detection of brain circulation stagnation staging: from alternating circulation to a total absence of Doppler spectrum in all intra- and extracranial arteries of brachiocephalic system including all standard imaging approaches, among them transorbital imaging of intracranial vessels. The identification of alternating circulation in extracranial vessels enables to verify stagnation of brain circulation regardless intracranial blood flow indices that is of great importance in case of bad quality of bone window for TCDS.

1. Stulin I.D., Mnushkin A.O., Musin R.S., et al. Modern noninvasive diagnosis of brain death. Vestnik prakticheskoy nevrologii 1995; 1: 86.
2. Stulin I.D. Diagnostika smerti mozga [Brain death diagnosis]. Moscow: GEOTAR-Media; 2010.
3. Ducrocq X., Hassler W., Moritake K., et al. Consensus opinion on diagnosis of cerebral circulatory arrest using Doppler-sonography: Task Force Group on cerebral death of the Neurosonology Research Group of the World Federation of Neurology. J Neurol Sci 1998; 159(2): 145–150, http://dx.doi.org/10.1016/S0022-510X(98)00158-0.
4. Eggers J., Pade O., Rogge A., Schreiber S.J., Valdueza J.M. TCCS successfully visualizes all intracranial parts of the internal carotid artery. Cerebrovasc Dis 2007; 23 (Suppl 1): 36.
5. Val’dueza Kh.M., Shrayber S.Y., Rel’ Y-E., Klingebel’ R.K. Neyrosonologiya i neyrovizualizatsiya pri insul’te [Neurosonology and neuroimaging in stroke]. Moscow: Medpress-inform; 2012.
6. Dörfler P., Puls I., Schliesser M., Mäurer M., Becker G. Measurement of cerebral blood flow volume by extracranial sonography. J Cerebral Blood Metab 2000; 20(2): 269–271, http://dx.doi.org/10.1097/00004647-200002000-00007.
7. Doepp E., Schreiber S.J., Brunecker P., Valdueza J.M. Ultrasound assessment of global cerebral blood volume in healthy adults. J Cereb Blood FloorMetab 2003; 23(8): 972–977, http://dx.doi.org/10.1097/01.WCB.0000071884.63724.69.

Sheludko N.V., Karpovich Е.I., Kurilina L.R., Zarechnova N.V., Rykhtik P.I., Pavlova Е.А., Pavlov S.S., Kazakova L.V. A Case of Transcranial Duplex Scanning of Cerebral Arteries in a Patient with Neurotrauma. Sovremennye tehnologii v medicine 2014; 6(3): 131