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Intracerebral Venous System: Monitoring by Transcranial Color-Coded Duplex Sonography (TCCS)

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Neurosonology in Critical Care

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Abstract

Transcranial Doppler and transcranial color-coded duplex sonography (TCCS) have been less utilized for the assessment of the intracerebral venous system although they are widely used imaging modalities for examinations of the cerebral arterial system. This is partially due to early technical limitations of ultrasound systems as well as a low prevalence of clinical cerebral venous disease to evaluate the reliability of these ultrasound technologies. Although venous TCCS is not currently used in routine clinical practice, it has a great potential to be a quick and complementary bedside diagnostic and monitoring modality for the patients with cerebral venous sinus thrombosis, arteriovenous malformations, malignant ischemic stroke, subarachnoid hemorrhage, and instability of intracranial pressure. In this chapter, we review cerebral venous anatomy, venous TCCS investigation technique, and clinical applications of TCCS in the intracerebral venous system.

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Author information

Authors and Affiliations

  1. Department of Neurology, New York University Langone Health, New York, NY, USA

    Dixon Yang

  2. Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA

    Marialaura Simonetto, Nelly Campo & Digna Cabral

  3. Evelyn F. McKnight Brain Institute, Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA

    Tatjana Rundek

Authors
  1. Dixon Yang
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  2. Marialaura Simonetto
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  3. Nelly Campo
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  4. Digna Cabral
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  5. Tatjana Rundek
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Corresponding author

Correspondence to Tatjana Rundek .

Editor information

Editors and Affiliations

  1. Department of Critical Care, University of Buenos Aires, Buenos Aires, Argentina

    Camilo N. Rodríguez

  2. Stroke Unit & Neurosonology Lab, University of Padua School of Medicine, Padova, Italy

    Claudio Baracchini

  3. Department of Critical Care and Anesthesiology, Fundación Valle del Lili, Cali, Colombia

    Jorge H. Mejia-Mantilla

  4. Department of Clinical Neurosciences Cambridge Biomedical Campus, University of Cambridge, Cambridge, UK

    Marek Czosnyka

  5. Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Jose I Suarez

  6. President of Hungarian Neurological Society, Department of Neurology, Clinical Center Debrecen University, Debrecen, Hungary

    László Csiba

  7. Intensive Care Unit, Clinics Hospital, Universidad de la Republica School of Medicine, Montevideo, Uruguay

    Corina Puppo

  8. Center for Neurological Vascular Diagnostics, Munich, Germany

    Eva Bartels

Algorithm

Algorithm

figure a

ABCD Airway-breathing-circulation-disability, CVST Cerebral Vein and Sinus Thrombosis, SAH Subarachnoid Hemorrhage, MFV Mean flow velocity, PSV Peak flow velocity, ONSD Optic Nerve Sheath Diameter, ↑ Increase, MRI Magnetic resonance imaging, CT computed tomography.

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Yang, D., Simonetto, M., Campo, N., Cabral, D., Rundek, T. (2022). Intracerebral Venous System: Monitoring by Transcranial Color-Coded Duplex Sonography (TCCS). In: Rodríguez, C.N., et al. Neurosonology in Critical Care . Springer, Cham. https://doi.org/10.1007/978-3-030-81419-9_28

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  • DOI: https://doi.org/10.1007/978-3-030-81419-9_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81418-2

  • Online ISBN: 978-3-030-81419-9

  • eBook Packages: MedicineMedicine (R0)

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