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Updated: Aug 14, 2026

Functional Transcranial Doppler Ultrasound for Monitoring Cerebral Blood Flow
Published on: March 15, 2021
Transcranial Doppler in adult patients with sickle cell disease
Gisele Sampaio Silva1, Perla Vicari, Maria Stella Figueiredo
1Federal University of São Paulo, São Paulo, Brazil. giselesampaio@hotmail.com
Insights
Transcranial Doppler (TCD) velocities in sickle cell disease (SCD) adults differ from children and controls. New age-specific criteria may help detect stroke risk in adults with SCD.
Area of Science:
- Neurology
- Hematology
- Vascular Medicine
Background:
- Transcranial Doppler (TCD) is crucial for stroke risk assessment in pediatric sickle cell disease (SCD).
- The utility and velocity patterns of TCD in adults with SCD remain largely uncharacterized.
- Stroke risk stratification in adults with SCD requires further investigation.
Purpose of the Study:
- To investigate the pattern of TCD velocities in adults with SCD.
- To compare TCD velocities between adults with SCD and healthy controls.
- To explore the relationship between TCD velocities and hematocrit levels in SCD adults.
Main Methods:
- A comparative study involving 56 adults with SCD and 56 healthy controls.
- Measurement and analysis of TCD velocities in both participant groups.
- Correlation analysis between TCD velocities and hematocrit levels.
Main Results:
- TCD velocities were lower in SCD adults compared to pediatric SCD patients.
- TCD velocities were higher in SCD adults than in healthy controls.
- A negative correlation between TCD velocities and hematocrit was observed in both SCD adults and controls.
Conclusions:
- The TCD velocity pattern in adults with SCD is distinct from that in children.
- Age-specific TCD criteria are necessary for accurate stroke risk detection in adults with SCD.
- Further research into TCD applications for adult SCD patients is warranted.
Background:
Transcranial Doppler (TCD) is the key test in determining the need for prophylactic blood transfusion to prevent stroke in children with sickle cell disease (SCD). The role of TCD in assessing stroke risk in adults with SCD as well as the pattern of TCD velocities in these patients are still undetermined.
Methods:
The authors compared TCD velocities in SCD adults (n=56) with those of healthy controls (n=56).
Results:
Velocities in SCD adults were lower than those found in children and higher than in controls and negatively correlated to hematocrit in both groups.
Conclusion:
The pattern of TCD velocities in adults with SCD is different from that described in children. Age-specific TCD criteria may assist the detection of stroke risk in these patients.
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