In the acute phase of cerebral ischemia, patients may show similar clinical presentation but the occlusive patterns of the intracranial arteries and the severity of perfusion deficit may be dramatically different.
The transcranial colorDoppler (TCCD) is one of the tools to explore the intracranial vessels, to identify if there is a blockage and to localize any stenosis/occlusion.
In particular TCCD in stroke patients is noninvasive, relatively inexpensive, easily repeatable diagnostic test ideal in the diagnosis and monitoring of the effectiveness of therapy.
While the neuroimaging, in acute stroke, is principal in the space domain, TCCD has introduced the time domain into the management of stroke patients by providing serial imaging and monitoring reperfusion of intracranial arteries after stroke.
In this lesson the role of the echocolor Doppler of the intracranial vessels in acute cerebrovascular disease is presented.
Franco Accorsi, MD
Member of the Order of Physician of Bologna n° 6728
I am a specialist in Medical Angiology and I am based in Bologna, Italy. Until 2008 (voluntary resignation) I worked at Maggiore Hospital in Bologna as "Dirigente Medico" in the Department of Internal Medicine and as Angiologist in the Angiology Unit with a position of "Alta Professionalità" in "Vascular Ecography and Angiology".
I am currently working in Bologna as an independent professional in the areas of angiology and vascular diagnostics.
I have been a speaker at national and international courses/congress and I have taught duplex ultrasound method in GIUV and SIUMB courses at the Maggiore Hospital, Bologna and courses of echocolor Doppler of extracranial and intracranial arteries at the Stroke Unit of S. Maria Nuova Hospital, Reggio Emilia.