Abstract
We examined 72 patients with 89 angiographically confirmed intracranial aneurysms, using transcranial colour-coded duplex sonography (TCCD) to determine the location and size of the aneurysm. The patients were admitted for coil embolisation of their aneurysm following subarachnoid haemorrhage or because of a cranial nerve palsy. Using a 2/2.25 MHz transducer, 42 aneurysms (47%) were seen satisfactorily through the temporal bone window or foramen magnum. In 24 cases (27%) image quality was insufficient as a result of a poor bone window, of the aneurysm having a diameter of less than 6 mm or of its being in an unfavourable location. In 23 other cases (26%) it was not possible to detect the aneurysm. Thrombosed structures could be demonstrated using TCCD in 8 of 12 giant intracavernous or basilar artery aneurysms, and in 15 of 19 aneurysms treated by platinum coil embolisation. TCCD offers a noninvasive method for monitoring progressive intra-aneurysmal thrombosis following coil embolisation and for follow-up of patients with untreatable fusiform aeurysms, should this be required. Detection of small aneurysms is limited by spatial resolution and insonation angles.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Becker G, Lindner A, Bogdahn U (1993) Imaging of the vertebrobasilar system by transcranial colour-coded real-time sonography. J Ultrasound Med 12:395–401
Schöning M, Buchholz R, Walter J (1993) Comparative study of transcranial colour duplex sonography and transcranial Doppler sonography in adults. J Neurosurg 78:776–784
Bogdahn U, Becker G, Winkler J, Greiner K, Perez J, Meurers B (1990) Transcranial colour-coded real time sonography in adults. Stroke 21:1680–1688
Tsuchiya T, Yasaka M, Yamaguchi T, Kimura K, Omae T (1991) Imaging of the basal cerebral arteries and measurement of blood velocity in adults by using transcranial real-time colour flow Doppler sonography. AJNR 12:497–502
Martin PJ, Evans DH, Naylor AR (1994) Transcranial colour-coded sonography of the basal cerebral circulation. Reference data from 115 volunteers. Stroke 25:390–396
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
Becker G, Perez J, Krone A, Demuth K, Lindner A, Hofmann E, Winkler J, Bogdahn U (1992) Transcranial colourcoded real time sonography in the evaluation of intracranial neoplasms and arteriovenous malformations. Neurosurgery 31:420–428
Becker G, Greiner K, Kaune B, Winkler J, Brawanski A, Warmuth-Metz M, Bogdahn U (1991) Diagnosis and monitoring of subarachnoidal hemorrhage by transcranial colour-coded real-time sonography. Neurosurgery 28:814–820
Black KL, Rubin JM, Chandler WF, McGillicuddy JE (1988) Intraoperative colour-flow Doppler imaging of AVM's and aneurysms. J Neurosurgery 68:636–639
Klötzsch C, Kühne D, Berlit P (1994) Diagnosis of giant fusiform basilar aneurysm by colour-coded transcranial duplex sonography. Cerebrovasc Dis 4: 371–372
Baumgartner RW, Mattle HP, Kothbauer K, Schroth G (1994) Transcranial colour-coded Duplex sonography in cerebral aneurysms. Stroke 25:2429–2434
Rieger J, Hosten N, Lemke AJ, Langer R, Lanksch WR, Felix R (1994) Zerebrale Aneurysmen: dreidimensionale Darstellung mit der Spiral-CT. Fortschr Röntgenstr 160:204–209
Horikoshi T, Fukamachi A, Nishi H, Fukasawa I (1994) Detection of intracranial aneurysms by three-dimensional time-of-flight magnetic resonance angiography. Neuroradiology 36:203–207
Ikawa F, Sumida M, Uozumi T, Kuwabara S, Kiya K, Kurisu K, Arita K, Satoh H (1994) Comparison of three-dimensional phase-contrast magnetic resonance angiography with three-dimensional time-of-flight magnetic resonance angiography in cerebral aneurysms. Surg Neurol 42:287–292
Bontozoglou N, Spanos H, Lasjaunias P, Zarifis G (1994) Three-dimensional display of the orifice of intracranial ancurysms: a new potential application for magnetic resonance angiography. Neuroradiology 36:346–349
Bogdahn U, Becker G, Schlief R, Reddig J, Hassel W (1993) Contrast-enhanced transcranial colour-coded realtime sonography. Results of a phasetwo study. Stroke 24:676–684
Griewing B, Doherty C, Kessler C (1995) Power-Doppler — A new tool for transcranial duplex assessment of intracranial vasculature (abstract). Stroke 26:721
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Klötzsch, C., Nahser, H.C., Fischer, B. et al. Visualisation of intracranial aneurysms by transcranial duplex sonography. Neuroradiology 38, 555–559 (1996). https://doi.org/10.1007/BF00626097
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00626097