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Comprehensive Evaluation of a Posterior Cerebral Artery Aneurysm and the Consequences of Rupture on Brain Tissue: The Value of Transcranial Color-Coded Duplex Ultrasonography

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References

  1. Coles JP. Imaging after brain injury. Br J Anaesth. 2007;99(1):49–60.

    Article  CAS  Google Scholar 

  2. Kleffmann J, Pahl R, Deinsberger W, Ferbert A, Roth C. Intracranial pressure changes during intrahospital transports of neurocritically ill patients. Neurocrit Care. 2016;25(3):440–5.

    Article  CAS  Google Scholar 

  3. Behnke S, Becker G. Sonographic imaging of the brain parenchyma. Eur J Ultrasound. 2002;16(1–2):73–80.

    Article  Google Scholar 

  4. Wijnhoud AD, Franckena M, van der Lugt A, Koudstaal PJ, Dippel ED. Inadequate acoustical temporal bone window in patients with a transient ischemic attack or minor stroke: role of skull thickness and bone density. Ultrasound Med Biol. 2008;34(6):923–9.

    Article  Google Scholar 

  5. Caricato A, Mignani V, Bocci MG, et al. Usefulness of transcranial echography in patients with decompressive craniectomy: a comparison with computed tomography scan. Crit Care Med. 2012;40(6):1745–52.

    Article  Google Scholar 

  6. Bendella H, Maegele M, Hartmann A, et al. Cerebral ventricular dimensions after decompressive craniectomy: a comparison between bedside sonographic duplex technique and cranial computed tomography. Neurocrit Care. 2017;26(3):321–9.

    Article  Google Scholar 

  7. Becker G, Bogdahn U, Strassburg HM, et al. Identification of ventricular enlargement and estimation of intracranial pressure by transcranial color-coded real-time sonography. J Neuroimaging. 1994;4(1):17–22.

    Article  CAS  Google Scholar 

  8. Kern R, Kablau M, Sallustio F, et al. Improved detection of intracerebral hemorrhage with transcranial ultrasound perfusion imaging. Cerebrovasc Dis. 2008;26(3):277–83.

    Article  Google Scholar 

  9. Llompart Pou JA, Abadal Centellas JM, Palmer Sans M, et al. Monitoring midline shift by transcranial color-coded sonography in traumatic brain injury. A comparison with cranial computerized tomography. Intensive Care Med. 2004;30(8):1672–5.

    Article  Google Scholar 

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Authors and Affiliations

  1. Critical Care Department, Genaral University Hospital of Larissa, University of Thessaly, Faculty of Medicine, Biopolis, 41110, Larissa, Greece

    Vasiliki Tsolaki, Paris Zygoulis & Demosthenes Makris

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  1. Vasiliki Tsolaki
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  2. Paris Zygoulis
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  3. Demosthenes Makris
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Contributions

VT was involved in acquisition and analysis of data, conceptualization, and drafting of the article. VT and PZ were involved in development of article figures and analysis and revisions of the article. DM was involved in conceptualization, analysis, and data interpretation as well as drafting and critical revision of the article. The final manuscript was approved by all authors.

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Correspondence to Vasiliki Tsolaki.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional ethical standards. Informed consent was received by the patient’s next of kin.

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TCCD. The aneurysmal sac presenting as a spherical mass with turbulent blood flow in the posterior region of the left hemisphere (corresponding to Figure 2). (MP4 7265 kb)

TCCD through left craniectomy (corresponding to Figure 3c). There is a cystic formation in the left hemisphere, where turbulent flow is evident, corresponding to the aneurysmal sac. (MP4 3997 kb)

TCCD presentation of flow in the aneurysmal sac. The aneurysm is supplied by the left Posterior Cerebral Artery (PCA) (on the left of the Video), while there is clear bidirectional flow in the aneurysmal sac (corresponding to Figure 3d–f). (MP4 2362 kb)

TCCD presenting the turbulent flow in the aneurysmal sack and large intracerebral hematoma as well as intraventricular hemorrhage (in both ventricles) (corresponding to Figure 4f). (MP4 3236 kb)

TCCD presenting the blood flow in the aneurysmal sack supplied by the PCA. (MP4 1597 kb)

TCCD presenting the blood flow in the aneurysmal sack supplied by the PCA. (MP4 1642 kb)

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Tsolaki, V., Zygoulis, P. & Makris, D. Comprehensive Evaluation of a Posterior Cerebral Artery Aneurysm and the Consequences of Rupture on Brain Tissue: The Value of Transcranial Color-Coded Duplex Ultrasonography. Neurocrit Care 36, 317–322 (2022). https://doi.org/10.1007/s12028-021-01406-x

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  • DOI: https://doi.org/10.1007/s12028-021-01406-x

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