Annals of Indian Academy of Neurology
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TECHNICAL NOTE
Year : 2016  |  Volume : 19  |  Issue : 1  |  Page : 102-107

Transcranial Doppler: Techniques and advanced applications: Part 2


1 Department of Neurology, Zydus Hospital and BJ Medical College, Civil Hospital, Ahmedabad, Gujarat, India
2 Department of Neurology, BGS Global Hospital, Bangalore, Karnataka, India
3 Department of Neurology, Max Specialty Hopsital, Delhi, India
4 Department of Neurology, Janakpuri Super-Specialty Hospital, Delhi, India
5 Department of Neurology, National University Hospital and YLL School of Medicine, National University of Singapore, Singapore

Correspondence Address:
Lokesh Bathala
Department of Neurology, BGS Global Hospital, Bangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.173407

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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.


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