Abstract
Transcranial color Doppler sonography is a new diagnostic technique which allows real-time, colorcoded imaging of basal cerebral arteries, with simultaneous demonstration of parenchymal structures in the B-mode scan. With this technique we were able nonivasively to show a giant fusiform aneurysm of the middle cerebral artery (MCA) in an 11-year-old boy. Transcranial color Doppler sonography through the intact temporal bone demonstrated the size and location of the aneurysm and provided real-time imaging of the pulsating intra-aneurysmal flow. Additionally, duplex sonographic measurements of intravascular flow velocities within the aneurysm and the feeding and draining artery were possible. Postoperatively, patency of the MCA with reduced flow velocities after excision of the aneurysm could be shown. This is the first transcranial color Doppler report in a patient with an intracerebral aneurysm. In our opinion, transcranial color Doppler sonography offers new diagnostic possibilities in patients with cerebrovascular disorders.
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References
Aaslid R, Markwalder TM, Nornes H (1982) Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg 57:769–774
Becker GM, Winkler J, Hoffmann E, Bogdahn U (1990) Imaging of cerebral arteriovenous malformations by transcranial colour-coded real-time sonography. Neuroradiology 32:280–288
Black KL, Rubin JM, Chandler WF, McGillicuddy JE (1988) Intraoperative color-flow Doppler imaging of AVM's and aneurysms. J Neurosurg 68:635–639
Bogdahn U, Becker G, Winkler J, Greiner K, Perez J, Meurers B (1990) Transcranial color-coded real-time sonography in adults. Stroke 21:1980–1988
Deeg KH, Rupprecht T (1989) Pulsed Doppler sonographic measurement of normal values for the flow velocities in the intracranial arteries of healthy newborns. Pediatr Radiol 19:71–78
Furuhata H, Okamura T (1988) Noninvasive measurement of cerebral bloodflow volume by transcranial color Doppler method. J Ultrasound Med 7:S175
Galicich JH, Lombroso CT, Matson DD (1965) Ultrasonic B-scanning of the brain. J Neurosurg 22:499–510
Gilsbach JM, Harders AG (1989) Microvascular and transcranial Doppler sonographic evaluation of cerebral aneurysm flow pattern. Neurol Res 11:41–48
Grolimund P (1986) Transmission of ultrasound through the temporal bone. In: Aaslid R (ed) Transcranial Doppler sonography, Springer, Wien New York, pp 10–21
Matsui T, Hirano A (1978) An atlas of the human brain for computerized tomography. Fischer, Stuttgart
Mitchell DG, Merton D, Needleman L, Kurtz AB, Goldberg EB, Levy D, Rifkin MD, Pennell RG, Vilaro M, Baltarowich O, Dahnert W, Graziani L, Desai H (1988) Neonatal brain: color Doppler imaging. I. Technique and vascular anatomy. Radiology 167:303–306
Schöning M, Grunert D (1990) Klinische Einsatzmöglichkeiten der transkraniellen Duplexsonographie und Farbdopplersonographie. In: Hanefeld F, Rating D, Christen HJ (eds) Aktuelle Neuropädiatrie 1989. Springer, Berlin Heidelberg New York, pp 347–352
Schöning M, Grunert D, Stier B (1988) Transkranielle real-time Sonographie bei Kindern und Jugendlichen. Ultraschallanatomie des Gehirns. Ultraschall 9:286–292
Schöning M, Grunert D, Stier B (1989) Transkranielle Duplexsonographie durch den intakten Knochen: ein neues diagnostisches Verfahren. Ultraschall 10:66–71
Schöning M, Grunert D, Stier B (1989) Transkranielle Real-time-Sonographie und Duplexsonographie bei Kindern und Erwachsenen: neue diagnostische Verfahren. In: Fischer PA, Baas H, Enzensberger W (eds) Verhandlungen der Deutschen Gesellschaft für Neurologie, vol 5. Springer, Berlin Heidelberg New York, pp 1000–1004
Schöning M, Grunert D, Stier B (1989) Transkranielle Sonographie und Duplexsonographie bei Kindern mit Zysten und Tumoren im Bereich der Hirnbasis. Ultraschall 10:245–249
Storrs BB, Humphreys RP, Hendrick EB, Hoffman HJ (1982) Intracranial aneurysms in the pediatric age-group. Child's Brain 9:358–361
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Schöning, M., Grunert, D., Haßler, W. et al. Demonstration of giant MCA aneurysm by transcranial duplex sonography and color Doppler imaging. Child's Nerv Syst 9, 110–114 (1993). https://doi.org/10.1007/BF00305320
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DOI: https://doi.org/10.1007/BF00305320