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REVIEW ARTICLE
Year : 2019  |  Volume : 35  |  Issue : 1  |  Page : 12-18

Monitoring cerebral vasospasm: How much can we rely on transcranial Doppler


1 Department of Anesthesia and Intensive Care, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India
2 Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India

Correspondence Address:
Hemant Bhagat
Department of Anesthesia and Intensive Care, 4th Floor, PGIMER, Sector 12, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacp.JOACP_192_17

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Cerebral vasospasm leading to delayed cerebral ischaemia is one of the major concerns following subarachnoid haemorrhage (SAH). Various modalities are present for evaluation and detection of cerebral vasospasm that occurs following SAH. They include transcranial Doppler (TCD), computed tomographic angiography (CTA), computed tomographic (CT) perfusion and digital subtraction angiography (DSA). The recent guidelines have advocated the use of TCD and have described it as a reasonable technique for monitoring the development of vasospasm. This review describes the functioning of TCD, the cerebral haemodynamic changes during vasospasm and TCD-based detection of vasospasm. The review shall highlight as to how the TCD derived values are relevant in the settings of neurocritical care. The data in the review have been consolidated based on our search of literature from year 1981 till 2016 using various data base.


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