The essentials in cerebrovascular disease management
Neurosonology is a key modality in diagnosis and management of cerebrovascular disease and especially of stroke. Now,
in this book, this non-invasive, real time imaging method is placed firmly in the clinical context.
This book offers both an outstanding overview of the principles of neurosonology and a casebook posing interesting
angiologic questions. Ultrasound anatomy, technical aspects of clinical application and the advantages and limitations
of ultrasound are reviewed with reference to conventional angiography, MR and CT angiography. Thirty selected cases
from the authors’ extensive experience gained at the Department of Neurology at the Charit?University Hospital,
Berlin, Germany are then discussed. The patient history and initial hypothesis are followed by detailed assessment of
the extracranial and intracranial color-coded duplex sonography findings and additional diagnostic procedures. Videos
of the same cases on the DVD provide insight into the diagnostic method.
Features:
Complete extracranial and intracranial arterial and venous ultrasound examination
More than 750 high quality illustrations, including full-color Doppler images
30 selected clinical cases graded from easy to difficult in terms of neurosonologic complexity
DVD with almost 100 videoclips brings ultrasound anatomy and real cases right to your screen!
Neurosonology and Neuroimaging in Stroke offers neurologists, neuroradiologists and all physicians treating patients
with cerebrovascular disease an authoritative guide to this indispensable diagnostic tool.
Table of Contents
Part A Principles and Rules
1 Fowl andUltrasoundBasics. . . . . . . . . . . . . . . . . . 2
Flow Dynamics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Physics of Flow. . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Flow Pattern and Flow Velocity . . . . . . . . . . . . . 2
Ultrasound Principles . . . . . . . . . . . . . . . . . . . . . . . 3
Doppler Effect. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Doppler Shift and Flow Velocity . . . . . . . . . . . . 4
Ultrasound Systems. . . . . . . . . . . . . . . . . . . . . . . . . 6
Ultrasound Transducer . . . . . . . . . . . . . . . . . . . . 6
Imaging Modalities, Parameters, and Settings 7
2 Vascular Anatomy and Structure of Ultrasound
Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
General Arterial Anatomy. . . . . . . . . . . . . . . . . . . . 13
Extracranial Arterial Anatomy . . . . . . . . . . . . . . 13
Intracranial Arterial Anatomy . . . . . . . . . . . . . . 15
General Structure of Arterial Ultrasound
Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Special Arterial Anatomy
and Ultrasound Anatom y. . . . . . . . . . . . . . . . . . . . 18
Extracranial Arteries . . . . . . . . . . . . . . . . . . . . . . 18
Intracranial Arteries . . . . . . . . . . . . . . . . . . . . . . 24
General Venous Anatomy . . . . . . . . . . . . . . . . . . . . 40
Intracranial Venous Anatomy. . . . . . . . . . . . . . . 41
Extracranial Venous Anatomy . . . . . . . . . . . . . . 42
General Structure of Venous Ultrasound
Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Special Venous Anatomy and Ultrasound
Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Intracranial Veins and Sinuses . . . . . . . . . . . . . . 43
Extracranial Veins . . . . . . . . . . . . . . . . . . . . . . . . 49
3 Intracranial Hemodynamics and Functional
Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Autoregulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Testing of Autoregulation . . . . . . . . . . . . . . . . . . 56
Neurovascular Coupling . . . . . . . . . . . . . . . . . . . . . 56
Testing of Neurovascular Coupling . . . . . . . . . . 57
Metabo