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Windows and the Practical Approach: The MOTOr

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Echography and Doppler of the Brain

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Abstract

This chapter provides an overview on how to perform transcranial color-coded sonography (TCCS). This is an evolution of the original transcranial Doppler (TCD) technique. TCD infers values related to flow direction and velocity from the numerical data obtained. TCCS allows for visualization of the vessel and examination of flow characteristics. The Mandibular Occipital Transtemporal Orbital (MOTOr) approach is outlined, which is a systematic way to interrogate four windows. Essential first steps are to gain confidence that an adequate acoustic window has been obtained, visualization of structures of interest, and performance of basic flow dynamic measurements. Individual patient pathophysiology and therapy intensity should also be incorporated into the interpretation of data and thus provide optimal information to inform patient management.

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Authors and Affiliations

  1. Cambridge University Hospitals, Cambridge, UK

    Aoife Quinn

  2. St Michael’s, Unity Health Toronto, University of Toronto, Toronto, ON, Canada

    Andrea Rigamonti

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  1. Aoife Quinn
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  2. Andrea Rigamonti
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Correspondence to Andrea Rigamonti .

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Editors and Affiliations

  1. Anesthesia and Intensive Care, Policlinico San Martino, IRCCS for Oncology and Neuroscience, Genoa, Italy

    Chiara Robba

  2. Anesthesia Neurosurgical Intensive Care, ASST Monza School of Medicine, University of Milano, Bicocca, Milano, Italy

    Giuseppe Citerio

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Quinn, A., Rigamonti, A. (2021). Windows and the Practical Approach: The MOTOr. In: Robba, C., Citerio, G. (eds) Echography and Doppler of the Brain. Springer, Cham. https://doi.org/10.1007/978-3-030-48202-2_3

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  • DOI: https://doi.org/10.1007/978-3-030-48202-2_3

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