Dr Arun Gupta Director imaging

Dr Rakhee guptaDr Vinayak Mittal

Dr KiranDr Ritesh Mahajan

ADVANCED USG

LOUNGE

TCD ( TRANS CRANIAL

DOPPLER )

IN NEWBORN /INFANTS

INDICATIONS

INDICATIONS IN

NEWBORN / INFANTS

•ASPHYXIA

•EDEMA

•HAEMORRHAGE

•STROKE

•HYDROCEPHALUS

•CSF DYNAMICS

•VASCULAR

MALFORMATIONS

•DIFFERENTIATION OF

EXTRA AXIAL

COLLECTIONS.

•VENOUS THROMBOSIS .

INDICATIONS IN CHILDREN

VASOSPASM

MIGRANE HEADCAHE

SLEEP APNOEA

HYDROCEPHALUCS/ VENTRICULOMEGALY

AVM.

Window through

•Anterior fontenella

•Temporal bone

•Retroauricular region

•Foramen magnum

•Orbits

ICA

PERICALLOSAL ARTERY

ANTERIOR / POSTERIOR

THALAMOSTRIATE ARTERIES

TRANSCRANIAL

DOPPLER

SUPERIOR SAGITTAL

SINUS WITH CORTICAL

VEINS DRAINING

INTO IT .

TRANSVERSE SINUS .

( POSTEROLATERAL

(MASTOID) APPROACH

TRANSCRANIAL

DOPPLER

TRANSCRANIAL

DOPPLER

CORONAL SCAN

SUPERIOR SAGITTAL SINUS

THALAMOSTRAITE ARTERIES

SUBEPENDYMAL VEINS

POSTERIOR CEREBERAL ARTERY

POSTERIOR COMMUNICATING ARTERY

TRANSCRANIAL

DOPPLER

CEREBELLAR VENOUS ARCADE

TRANSCRANIAL

DOPPLER

FORAMEN MAGNUM

WINDOW TO ASSESS

POSTERIOR FOSSA .

HYDROCEPHALUS

INTRACRANIAL HAEMODYNAMICS

OF THE NEWBORN IN

HYDROCEPHALUS

ARE ASSESSED WITH TCD .

VARIATION IN RI WITH / WITHOUT

ANTERIOR

FONTENELLA COMPRESSION HELP TO

ASSESS

AFFECT OF ICP RISE AND

SUBSEQUAENT BRAIN COMPLIANCE .

Dilatatation of the

supratentorial ventricular

system) .

CYSTIC ENCEPHALOMALACIA

Cystic

Foci appreciated in

pericallosal regions

No aberrant

Vascularity

appreciated

in lesion /

perilesion

site

Cystic foci

appreciated

In pericallosal

regions

on either side

REFERENCE

DIAGNOSTIC

ULTRASOUND

FOURTH EDITION

Carol M. Rumack, MD, FACR

J. William Charboneau, MD, FACR

Deborah Levine, MD, FACR