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Monitoring of Brain Tissue Perfusion Utilizing a Transducer Holder for Transcranial Color Duplex Sonography

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Brain Edema XV

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 118))

Abstract

Objective: We have improved a transducer holder for transcranial color duplex sonography (TCDS) monitoring via both the temporal and foraminal windows (TW/FW). The objective is to clarify the clinical usefulness of and identify problems with TCDS monitoring in the evaluation of brain tissue perfusion.

Methods: Brain tissue perfusion was monitored in 11 patients (ages 31–94, mean 66). After an intravenous bolus, power modulation imaging (PMI) in all cases and second harmonic imaging (SHI) in two cases were evaluated at the diencephalic horizontal plain via bilateral (6 cases) and unilateral (5 cases) TWs. After a transducer was installed into the holder, acetazolamide (ACZ) cerebral vasoreactivity utilizing PMI was evaluated in ten cases.

Results: PMI proved superior to SHI in the quantitative evaluation of the bilateral hemispheres via the unilateral TWs. Brain tissue perfusion could be precisely quantified before/after ACZ in the same regions of interest (ROI). All patients could be monitored continuously by one examiner. Fixed-probe shifts during monitoring were easily readjustable. Owing to re-fixation for contra-lateral TW monitoring, it was not possible to evaluate precisely in the same ROIs.

Conclusion: TCDS monitoring succeeds in continuously and quantitatively evaluating precise and reproducible intracranial hemodynamics in the brain tissue.

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Conflict of Interest

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Department of Clinical Neurosciences, Kyoto Takeda Hospital, Minamikinuta-cho 11, Nishinanajo, Shimogyo-ku, Kyoto, 600-8884, Japan

    Toshiyuki Shiogai MD, PhD, Mari Koyama, Mayumi Yamamoto & Hifumi Hashimoto

  2. Department of Stroke Medicine, Hoshigaoka Kouseinenkin Hospital, Kyoto, Japan

    Kenji Yoshikawa MD, PhD

  3. Department of Neurology, Kyoto Prefectural University of Medicine, Kyoto, Japan

    Masanori Nakagawa MD, PhD

Authors
  1. Toshiyuki Shiogai MD, PhD
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  2. Mari Koyama
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  3. Mayumi Yamamoto
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  4. Hifumi Hashimoto
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  5. Kenji Yoshikawa MD, PhD
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  6. Masanori Nakagawa MD, PhD
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Corresponding author

Correspondence to Toshiyuki Shiogai MD, PhD .

Editor information

Editors and Affiliations

  1. School of Medicine, Dept. Neurological Surgery, Nihon University, Oyaguchikami-machi 30-1, Tokyo, 173-8610, Japan

    Yoichi Katayama

  2. School of Medicine, Departments of Neurological Surgery and, Nihon University, 30-1 Oyaguchi Kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan

    Takeshi Maeda

  3. , Department of Clinical Laboratory, Namegata District General Hospital, 98-8 Inouefujii, Namegata 98-8, Ibaraki, 311-3516, Japan

    Toshihiko Kuroiwa

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© 2013 Springer-Verlag Wien

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Shiogai, T., Koyama, M., Yamamoto, M., Hashimoto, H., Yoshikawa, K., Nakagawa, M. (2013). Monitoring of Brain Tissue Perfusion Utilizing a Transducer Holder for Transcranial Color Duplex Sonography. In: Katayama, Y., Maeda, T., Kuroiwa, T. (eds) Brain Edema XV. Acta Neurochirurgica Supplement, vol 118. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1434-6_43

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  • DOI: https://doi.org/10.1007/978-3-7091-1434-6_43

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1433-9

  • Online ISBN: 978-3-7091-1434-6

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