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Relationship between transcranial Doppler and CT data in acute intracerebral hemorrhage

Joan Martí-Fàbregas1, Roberto Belvís, Esteve Guàrdia

  • 1Department of Neurology, Cerebrovascular Unit, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Spain.

AJNR. American Journal of Neuroradiology
|January 22, 2005
PubMed

Insights

Transcranial Doppler (TCD) pulsatility index (PI) correlates with CT findings in acute intracerebral hemorrhage (ICH). Increased PI may indicate intracranial hypertension and mass effect, offering a noninvasive assessment tool.

Area of Science:

  • Neuroimaging
  • Neurology
  • Medical Devices

Background:

  • Intracerebral hemorrhage (ICH) diagnosis relies on CT scans.
  • A noninvasive method to correlate with CT findings in ICH is needed.

Purpose of the Study:

  • To determine which transcranial Doppler (TCD) variables correlate with CT findings in patients with acute ICH.

Main Methods:

  • Prospective study of 51 patients with acute supratentorial ICH.
  • CT and TCD performed within 12 hours of symptom onset.
  • Analyzed TCD pulsatility index (PI) from middle cerebral arteries in affected and unaffected hemispheres.

Main Results:

  • TCD pulsatility index (PI) positively correlated with hematoma volume, hypoattenuation, and total ICH volume.
  • PI was increased in patients with intraventricular hemorrhage.
  • PI correlated with midline shift, suggesting mass effect.

Conclusions:

  • TCD parameters, particularly PI, correlate with CT findings in acute ICH.
  • Elevated PI likely reflects intracranial hypertension and mass effect.
  • Further research is needed to establish clinical applications of TCD in ICH management.
Abstract

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