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Cerebral Hemodynamic Evaluation by Means of Transcranial Doppler Sonography

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Abstract

Cerebral transient ischemic attacks and strokes are usually related to embolic occlusion of cerebral arteries, which originates from the cervical carotid arteries or from the heart. Following the acute event, perfusion of the cerebral parenchyma commonly remains sufficient. There is however, a minority of patients with thrombosis of the cervical carotid artery, in whom perfusion remains inadequate. Corresponding symptoms consist of fluctuating deficits. Two methods for cerebral hemodynamic evaluation have been recently introduced into clinical practice, the CO2-reactivity test and the acetazolamide test. Our preliminary experience with extracranial/intracranial bypass surgery for hemodynamic insufficiency is encouraging and suggests that a functional improvement can be achieved.

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© 1990 Springer-Verlag Berlin Heidelberg

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Steiger, H.J., Nirkko, A. (1990). Cerebral Hemodynamic Evaluation by Means of Transcranial Doppler Sonography. In: Liepsch, D.W. (eds) Biofluid Mechanics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-52338-0_4

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  • DOI: https://doi.org/10.1007/978-3-642-52338-0_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52730-5

  • Online ISBN: 978-3-642-52338-0

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