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Review
. 2019 Jan-Mar;35(1):12-18.
doi: 10.4103/joacp.JOACP_192_17.

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

Navneh Samagh  1 , Hemant Bhagat  2 , Kiran Jangra  2
Affiliations
Review

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

Navneh Samagh et al. J Anaesthesiol Clin Pharmacol. 2019 Jan-Mar.

Abstract

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.

Keywords: Cerebral vasospasm; subarachnoid haemorrhage; transcranial Doppler.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Principle of transcranial Doppler
Figure 2
Figure 2
Acoustic windows for insonation of cerebral arteries
See this image and copyright information in PMC

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