Value of Transcranial Doppler Sonography in Patients Treated with Nimodipine

  • R. Laumer
  • R. Steinmeier
  • F. Gönner
  • T. Vogtmann
Part of the Advances in Neurosurgery book series (NEURO, volume 20)


For more than 8 years, transcranial Doppler sonography (TCDS) has been an important noninvasive tool in detecting vasospasm after subarachnoid hemorrhage (SAH). While initial investigations found a good correlation between the evaluated flow velocities and the neurological status, recent reports were more reserved. Especially the predictive value of TCDS concerning imminent delayed ischemic deficits (DID) was doubted [12, 14, 15]. This fact was mainly due to extremely high flow velocities being tolerated without any neurological deficit.


Flow Velocity Neurological Deficit Middle Cerebral Artery Subarachnoid Hemorrhage Cerebral Vasospasm 
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  1. 1.
    Aaslid R (1986) Transcranial Doppler sonography. Springer, Wien New YorkGoogle Scholar
  2. 2.
    Aaslid R, Markwalder T-M, Nornes H (1982) Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg 57:769–774PubMedCrossRefGoogle Scholar
  3. 3.
    Aaslid R, Huber P, Nomes H (1984) Evaluation of cerebrovascular spasm with transcranial Doppler ultrasound. J Neurosurg 60:37–41PubMedCrossRefGoogle Scholar
  4. 4.
    Auer LM, Brandt L, Ebeling U et al. (1986) Nimodipine and early aneurysm operation in good condition SAH patients. Acta Neurochirurg 82:7–13CrossRefGoogle Scholar
  5. 5.
    Fisher CM, Kistler JP, Davis JM (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurg 6:1–9CrossRefGoogle Scholar
  6. 6.
    Gilsbach JM, Härders A (1985) Early aneurysm operation and vasospasm. Intracranial Doppler findings. Neurochirurgia 28:100–102PubMedGoogle Scholar
  7. 7.
    Harders A (1986) Neurosurgical applications of transcranial Doppler sonography. Springer, Wien New YorkGoogle Scholar
  8. 8.
    Harders AG, Gilsbach JM, Hornyak ME (1988) Incidence of vasospasm in transcranial Doppler sonography and its clinical significance: a prospective study in 100 consecutive patients who were given intravenous Nimodipine and who underwent early aneurysm surgery. In: Wilkins RH (ed) Cerebral vasospasm. Raven Press, New York, pp 73–78Google Scholar
  9. 9.
    Houteville JP (1987) Nimodipine curative treatment of cerebral vasospasm after aneurysmal rupture. Co-operative multicentre study. 8th European Congrtess of Neurosurgery, Barcelona 1987Google Scholar
  10. 10.
    Kazner E, Sprung CH, Adelt D et al. (1985) Clinical experience with nimodipine in the prophylaxis of neurological deficits after subarachnoid hemorrhage. Neurochirurgia 28:110–113PubMedGoogle Scholar
  11. 11.
    Koos WT, Perneczky A, Auer LM et al. (1985) Nimodipine treatment of ischemic neurological deficit due to cerebral vasospasm after subarachnoid hemorrhage. Neurochirurgia 28:114–117PubMedGoogle Scholar
  12. 12.
    Laumer R, Steinmeier R, Vogtmann T, Gönner F, Mück M, Priem R (1989) Stellenwert der transkraniellen Dopplersonographie beim Management der Subarachnoidalblutung. Nervenheilkunde 8:287–303Google Scholar
  13. 13.
    Seiler RW, Grolimund P, Aaslid R et al. (1986) Cerebral vasospasm evaluated by transcranial ultrasound correlated with clinical grade and CT-visualized subarachnoid hemorrhage. J Neurosurg 64:594–600PubMedCrossRefGoogle Scholar
  14. 14.
    Sekhar LN, WEchsler LR, Yonas H et al. (1988) Value of transcranial Doppler examination in the diagnosis of cerebral vasospasm after subarachnoid hemorrhage. Neurosurg 22:813–821CrossRefGoogle Scholar
  15. 15.
    Symon L, Compton J, Redmond S et al. (1988) Bedside monitoring in subarachnoid hemorrhage: Evoked responses, hemispheral blood flow, and flow velocity measurements. In: Wilkins RH (ed) Cerebral vasospasm. Raven Press, New York, pp 73–78Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • R. Laumer
  • R. Steinmeier
  • F. Gönner
  • T. Vogtmann
    • 1
  1. 1.Neurochirurgische Klinik der Universität Erlangen-NürnbergErlangenGermany

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