Neurol. praxi. 2023;24(6):435-439 | DOI: 10.36290/neu.2023.038

Today's role of duplex sonography in the diagnostics of atherosclerosis of brain supplying arteries

MUDr. Dagmar Součková
Sonolab, s. r. o., Cerebrovaskulární poradna a neurosonologie
Neurologické oddělení, Nemocnice Na Homolce, Praha

The role of sonography is being changed nowadays due to the progress and logistic changes in acute diagnostics in stroke care. In the acute phase of stroke, CT angiography is basic to enable start treatment as soon as possible. Nevertheless, sonographic examination has a lot to offer, not only in the acute, but also subacute period of stroke treatment. Neurosonology is irreplaceable in secondary prevention, as well as in primary prevention of stroke. We summarize contemporary clinical importance of the examination in all phases of stroke care.

Keywords: neurosonology, transcranial duplex sonography, atherosclerosis, carotid stenosis, secondary stroke prevention, primary stroke prevention.

Received: May 31, 2023; Revised: May 31, 2023; Accepted: May 31, 2023; Prepublished online: May 31, 2023; Published: December 7, 2023  Show citation

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Součková D. Today's role of duplex sonography in the diagnostics of atherosclerosis of brain supplying arteries. Neurol. praxi. 2023;24(6):435-439. doi: 10.36290/neu.2023.038.
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References

  1. Alexandrov A. Neurovascular Examination: The Rapid Evaluation of Stroke Patients Using Ultrasound Waveform Interpretation. Wiley-Blackwel, 2013. Go to original source...
  2. Bazan R, Luvizutto GJ, Braga GP, et al. Relationship of spontaneous microembolic signals to risk stratification, recurrence, severity, and mortality of ischemic stroke: a prospective study. Ultrasound J. 2020;12(1):6. doi: 10.1186/s13089-020-0156-1. PMID: 32048064; PMCID: PMC7013020. Go to original source... Go to PubMed...
  3. Demchuk AM, Burgin WS, Christou I, et al. Thrombolysis in brain ischemia (TIBI) transcranial Doppler flow grades predict clinical severity, early recovery, and mortality in patients treated with intravenous tissue plasminogen activator. Stroke. 2001;32:89-93. Go to original source... Go to PubMed...
  4. De Weerd M, et al. Prevalence od asymptomatic Carotid Artery Stenosis in the General Population An Individual Participant Data Meta-Analysis. Stroke. 2010;41(6):1294-7. Go to original source... Go to PubMed...
  5. Ikenberg B, et al. Neurosonography After Mechanical Thrombectomy fot Acute Stroke Treatment. J of Neuroimaging. 2019;29(3):364-370. Go to original source... Go to PubMed...
  6. Gupta A, Kesavabhotla K, Baradaran H, et al. Plaque echolucency and stroke risk in asymptomatic carotid stenosis: a systematic review and meta-analysis. Stroke. 2015;46(1):91-7. doi: 10.1161/STROKEAHA.114.006091. Epub 2014 Nov 18. PMID: 25406150; PMCID: PMC4280234. Go to original source... Go to PubMed...
  7. Kirchoff-Torres KF, Bakradze E. Cerebral Hyperperfusion Syndrome After Carotid Revascularization and Acute Ischemic Stroke. Curr Pain Headache Rep. 2018;22(4):24. doi: 10.1007/s11916-018-0678-4. PMID: 29556806. Go to original source... Go to PubMed...
  8. Kneihls M, Niederkorn K, Deutschmann H, et al. Abnormal Blood Flow on TCCS Predicts Poor Outcome After Stroke Thrombectomy. Stroke. 2018;49(11):2780-2782. Go to original source... Go to PubMed...
  9. Lauerer M, Wunderlich S, Boeckh-Behrens T, Ikenberg B. Increased intracranial blood flow velocity following mechanical thrombectomy in treatment of acute stroke precedes reocclusion. Journal of Clinical Ultrosound. 2022;50(4):487-490. Go to original source... Go to PubMed...
  10. Neumann J, et al. Doporučení pro intravenózní trombolýzu v léčbě akutního mozkového infarktu - verze 2021. Cesk Slov Neurol N. 2021;84/117(3):291-299.
  11. Roesler J, Haertl J, Wunderlich S, et al. Extracranial ultrasound following mechanical thrombectomy in pacients with acute stroke. Journal of Neuroimaging. 2021. doi: 10.1111/jon 12954. Go to original source...
  12. Roubec M, Školoudík D, Herzig R, et al. Korelace trans­kraniální barevné duplexní sonografie, CT angiografie a DSA u pacientů s aterosklerotickým postižením mozkových tepen v běžné klinické praxi. Cesk Slov Neurol N. 2009;72/105(6):542-547.
  13. Saqqur M, Tsivgoulis G, Nicoli F, et al. The role of sonolysis and sonothrombolysis in acute ischemic stroke: a systematic review and meta-analysis of randomized controlled trials and case-control studies. J Neuroimaging. 2014;24(3):209-20. doi: 10.1111/jon.12026. Epub 2013 Apr 22. PMID: 23607713. Go to original source... Go to PubMed...
  14. Shahripour RB, Azarpazhooh MR, Akhuanzada H, et al. Transcranial Doppler to evaluate postreperfusion therapy following acute ischemic stroke: A literature review. J of Neuroimaging. 2021;31(5):10.1111/jon.12887. Go to original source... Go to PubMed...
  15. Spence JD. Transcranial Doppler monitoring for microemboli: a marker of a high-risk carotid plaque. Semin Vasc Surg. 2017;30(1):62-66. doi: 10.1053/j.semvascsurg.2017.04.011. Epub 2017 Apr 27. PMID: 28818260. Go to original source... Go to PubMed...
  16. Sudheer P, Misra S, Nath M, Micro-embolic signal monitoring in stroke subtypes: A systematic review and meta-analysis of 58 studies. Eur Stroke J. 2021;6(4):403-411. doi: 10.1177/23969873211060819. Epub 2021 Nov 13. Erratum in: Eur Stroke J. 2023;8(1):402. PMID: 35342814; PMCID: PMC8948512. Go to original source... Go to PubMed...
  17. Šaňák D, Mikulík R, Tomek A, et al. Doporučení pro mechanickou trombektomii akutního mozkového infarktu - verze 2019. Cesk Slov Neurol N. 2019;82/115(6):700-705. doi: 10.14735/amcsnn2019 700. Go to original source...
  18. Školoudík D, Škoda O, Bar M, et al. Neurosonologie. Galén, Praha, 2003.
  19. Von Reutern GM, Goertler MW, Bornstein NM, et al.; Neurosonology Research Group of the World Federation of Neurology. Grading carotid stenosis using ultrasonic methods. Stroke. 2012;43(3):916-21. doi: 10.1161/STROKEAHA.111.636084. Epub 2012 Feb 16. Erratum in: Stroke. 2012 May;43(5):e54. PMID: 22343647. Go to original source... Go to PubMed...
  20. Wu T, Shi Z, Chen B, et al. TCD hemodynamics findings in the subacute phase of anterior circulation stroke patients treated with mechanical thrombectomy. Open Med (Wars). 2022;17(1):606-613. doi: 10.1515/med-2022-0464. PMID: 35434377; PMCID: PMC8961283. Go to original source... Go to PubMed...
  21. Yen-Heng L, Hon-Man L. Update on cerebral hyperperfusion syndrome. J Neurointerv Surg. 2020;12(8):788-793. Go to original source... Go to PubMed...




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