Computed tomography and transcranial doppler findings in acute and subacute phases of intracerebral hemorrhagic stroke

B. Fülesdi, Katalin Réka Kovács, D. Bereczki, Péter Bágyi, I. Fekete, L. Csiba

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: The hematoma volume is an important determinant of outcome and a predictor of clinical deterioration in patients with intracerebral hemorrhage (ICH). Our goal was to evaluate alterations in the cerebral circulation, in respect to hemorrhage and edema volume changes, using transcranial Doppler (TCD). METHODS: Twenty patients with acute supratentorial ICH were examined. Brain, hematoma, and edema volumes were calculated from CT scans performed at admission and 2 weeks later. Data were compared with those obtained from bilateral TCD recordings of the middle cerebral arteries. RESULTS: During TCD examination, blood flow velocities did not change, cerebral perfusion pressure (CPP) and resistance area product (RAP) decreased (P = .006, P = .002) while cerebral blood flow index (CBFI) remained constant on the affected side. Although hemorrhage volume did not correlate with RAP in the acute phase, correlation was found in the subacute phase (r = -44, P = .04). CONCLUSIONS: TCD monitoring sensitively demonstrates the hemodynamic change caused by ICH but the severity of the changes does not correlate with the volume of the ICH in acute stage. The CPP, RAP, and CBFI values are more sensitive parameters than the absolute velocity values, therefore they contribute more to the understanding of hemodynamic changes developed after spontaneous ICH.

Original languageEnglish
Pages (from-to)124-130
Number of pages7
JournalJournal of Neuroimaging
Volume24
Issue number2
DOIs
Publication statusPublished - Mar 2014

Fingerprint

Cerebrovascular Circulation
Cerebral Hemorrhage
Stroke
Tomography
Hematoma
Hemodynamics
Hemorrhage
Blood Flow Velocity
Brain Edema
Middle Cerebral Artery
Edema

Keywords

  • Cerebral hemodynamics
  • Computed tomography
  • Intracerebral hemorrhage
  • Transcranial ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Medicine(all)

Cite this

Computed tomography and transcranial doppler findings in acute and subacute phases of intracerebral hemorrhagic stroke. / Fülesdi, B.; Réka Kovács, Katalin; Bereczki, D.; Bágyi, Péter; Fekete, I.; Csiba, L.

In: Journal of Neuroimaging, Vol. 24, No. 2, 03.2014, p. 124-130.

Research output: Contribution to journalArticle

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