Transcranial Doppler Ultrasonography in the Management of Neonatal
Transcranial doppler advanced usg lounge
-
Upload
ritesh-mahajan -
Category
Health & Medicine
-
view
221 -
download
3
Transcript of 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
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