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Page 1: Transcranial doppler advanced usg lounge

Dr Arun Gupta Director imaging

Dr Rakhee guptaDr Vinayak Mittal

Dr KiranDr Ritesh Mahajan

ADVANCED USG

LOUNGE

TCD ( TRANS CRANIAL

DOPPLER )

IN NEWBORN /INFANTS

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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

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ICA

PERICALLOSAL ARTERY

ANTERIOR / POSTERIOR

THALAMOSTRIATE ARTERIES

TRANSCRANIAL

DOPPLER

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SUPERIOR SAGITTAL

SINUS WITH CORTICAL

VEINS DRAINING

INTO IT .

TRANSVERSE SINUS .

( POSTEROLATERAL

(MASTOID) APPROACH

TRANSCRANIAL

DOPPLER

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TRANSCRANIAL

DOPPLER

CORONAL SCAN

SUPERIOR SAGITTAL SINUS

THALAMOSTRAITE ARTERIES

SUBEPENDYMAL VEINS

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POSTERIOR CEREBERAL ARTERY

POSTERIOR COMMUNICATING ARTERY

TRANSCRANIAL

DOPPLER

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CEREBELLAR VENOUS ARCADE

TRANSCRANIAL

DOPPLER

FORAMEN MAGNUM

WINDOW TO ASSESS

POSTERIOR FOSSA .

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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 .

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Dilatatation of the

supratentorial ventricular

system) .

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CYSTIC ENCEPHALOMALACIA

Cystic

Foci appreciated in

pericallosal regions

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No aberrant

Vascularity

appreciated

in lesion /

perilesion

site

Cystic foci

appreciated

In pericallosal

regions

on either side

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REFERENCE

DIAGNOSTIC

ULTRASOUND

FOURTH EDITION

Carol M. Rumack, MD, FACR

J. William Charboneau, MD, FACR

Deborah Levine, MD, FACR