Preliminary application of contrast-enhanced transcranial color-coded sonography in subacute intracerebral hemorrhage
10.3760/cma.j.issn.1004-4477.2019.02.002
- VernacularTitle:亚急性期基底节区脑出血患者经颅超声造影的初步应用
- Author:
Tengfei YU
1
,
2
;
Wen HE
;
Yang ZHAO
;
Zhanqiang JIN
;
Bin NING
;
Yanmin KAN
;
Yang GUANG
Author Information
1. 首都医科大学附属北京天坛医院超声科 100070
2. 解放军总医院超声科
- Keywords:
Ultrasonography;
Doppler;
transcranial;
Contrast-enhanced ultrasound;
transcranial;
Cerebral hemorrhage
- From:
Chinese Journal of Ultrasonography
2019;28(2):99-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the ultrasonographic findings of patients with basal ganglia hemorrhage by transcranial color-code sonography ( TCCS) and contrast-enhanced transcranial color-code sonography (CE-TCCS) ,and to evaluate the clinical value of TCCS and CE-TCCS in assessing the cerebral perfusion with basal ganglia hemorrhage . Methods Eighty-two patients with basal ganglia hemorrhage were selected ,and hematoma was seen in 58 patients (70 .7％ ) . Forty-six cases of bilateral TCCS with clear display of basal ganglia through temporal window were selected . CE-TCCS was used to observe cerebral perfusion of edema zone ,edema zone edge and peripheral brain parenchyma . Results The bilateral rate displayed by TCCS was 79 .3％ . Among 58 cases ,30 cases had ventricular compression ,14 cases had hematoma rupture into ventricle ,8 cases had midline displacement ,and 10 cases had no complication change . The cerebral perfusion in edema areas around hematoma was reduced by CE-TCCS ,but the degree of reduction was different . There were reduced in a step-like manner in the cerebral perfusion from edema zone and edema zone edge to peripheral brain tissue . Conclusions CE-TCCS is a new method for clinical diagnosis and monitoring the progress of treatments of cerebral hematoma .
