Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gerriets, T.
Right arrow Articles by Kaps, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gerriets, T.
Right arrow Articles by Kaps, M.
Neurology 1999;52:1133
© 1999 American Academy of Neurology
Articles

Contrast-enhanced transcranial color-coded duplex sonography

Efficiency and validity

T. Gerriets, MD, G. Seidel, MD, I. Fiss, B. Modrau, MD and M. Kaps, MD

From the Department of Neurology, University at Lübeck, Germany.

Address correspondence and reprint requests to Dr. M. Kaps, Ratzeburger Allee 160, D-23538 Lübeck, Germany; e-mail: Kaps-m{at}neuro.Mu-Luebeck.de

OBJECTIVE: To evaluate the diagnostic efficiency and accuracy of contrast-enhanced transcranial color-coded sonography (CE-TCCS).

BACKGROUND: TCCS is hampered by insufficient ultrasonic penetration in 20% of cerebrovascular patients.

METHODS: In 47 patients whose basal arteries could not be assessed adequately, 59 TCCS examinations were performed before and after administration of the ultrasonic contrast agent (CA) Levovist. The assessability of different basal cerebral arteries after CA administration was evaluated off-line. Angiographic records were available from 11 patients.

RESULTS: Satisfactory investigation of the middle cerebral artery, the anterior cerebral artery, the P1 and P2 segments of the posterior cerebral artery, and the supraclinoid portion of the internal carotid artery siphon was possible in 5.1%, 28.8%, 35.6%, 55.9%, and 47.5% of patients before, and in 84.7%, 91.5%, 93.2%, 94.5%, and 93.2% of patients after contrast enhancement. Stenoses or occlusions of basal cerebral arteries were registered in 28 patients (60%). CE-TCCS diagnosis was confirmed by digital subtraction angiography or magnetic resonance angiography in 10 of the 11 patients, leading to positive and negative predictive values of 0.86 and 1.00.

CONCLUSION: Contrast enhancement improves the diagnostic potential of TCCS significantly in patients with temporal bone window failure, and proved to be a reliable method for detecting middle cerebral artery and siphon occlusion.




This article has been cited by other articles:


Home page
 Am. J. Neuroradiol.Home page
A. Kunz, G. Hahn, D. Mucha, A. Muller, K.M. Barrett, R. von Kummer, and G. Gahn
Echo-Enhanced Transcranial Color-Coded Duplex Sonography in the Diagnosis of Cerebrovascular Events: A Validation Study
AJNR Am. J. Neuroradiol., November 1, 2006; 27(10): 2122 - 2127.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
T Gerriets, M Goertler, E Stolz, T Postert, U Sliwka, F Schlachetzki, G Seidel, S Weber, and M Kaps
Feasibility and validity of transcranial duplex sonography in patients with acute stroke
J. Neurol. Neurosurg. Psychiatry, July 1, 2002; 73(1): 17 - 20.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
E. Stolz, M. Nuckel, I. Mendes, T. Gerriets, and M. Kaps
Vertebrobasilar Transcranial Color-Coded Duplex Ultrasonography: Improvement with Echo Enhancement
AJNR Am. J. Neuroradiol., June 1, 2002; 23(6): 1051 - 1054.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
M. Koga, K. Kimura, K. Minematsu, and T. Yamaguchi
Relationship between Findings of Conventional and Contrast-Enhanced Transcranial Color-Coded Real-Time Sonography and Angiography in Patients with Basilar Artery Occlusion
AJNR Am. J. Neuroradiol., April 1, 2002; 23(4): 568 - 571.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart J SupplHome page
G. Deklunder
Role of ultrasound and contrast-enhanced ultrasound in patients with cerebrovascular disease
Eur. Heart J. Suppl., March 1, 2002; 4(suppl_C): C51 - C55.
[Abstract] [PDF]

Home page
 Am. J. Neuroradiol.Home page
C. Klotzsch, A. Bozzato, G. Lammers, M. Mull, and J. Noth
Contrast-Enhanced Three-Dimensional Transcranial Color-Coded Sonography of Intracranial Stenoses
AJNR Am. J. Neuroradiol., February 1, 2002; 23(2): 208 - 212.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
T. Gerriets, E. Stolz, S. Konig, S. Babacan, I. Fiss, M. Jauss, and M. Kaps
Sonographic Monitoring of Midline Shift in Space-Occupying Stroke : An Early Outcome Predictor
Stroke, February 1, 2001; 32(2): 442 - 447.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
T. Gerriets, T. Postert, M. Goertler, E. Stolz, F. Schlachetzki, U. Sliwka, G. Seidel, S. Weber, and M. Kaps
DIAS I: Duplex-Sonographic Assessment of the Cerebrovascular Status in Acute Stroke : A Useful Tool for Future Stroke Trials
Stroke, October 1, 2000; 31(10): 2342 - 2345.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1999 by AAN Enterprises, Inc.