Transcranial Doppler as a Bedside Evaluation Tool in Tubercular Meningitis: Case Report and Review of Literature

Dhananjay Gupta, Anjani Kumar Bhushan, A. Mehta, M. Javali, P. T. Acharya, R. Srinivasa
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Abstract

Critically ill patients with advanced disease may require frequent close monitoring of cerebral hemodynamics, including intracranial blood flows and pressures. Repetitive evaluations with Magnetic Resonance Imaging (MRI) or Lumbar puncture may be difficult and thus TCD may play an important role in the management of these patients. Here we report a case of TBM with vasculopathy who showed elevated blood flow velocities in the Posterior (PCA), Middle (MCA) and Anterior Cerebral Arteries (ACA). These changes were reversible after treatment with ATT and steroids.
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经颅多普勒作为结核性脑膜炎床边评估工具:病例报告及文献回顾
重症晚期患者可能需要频繁密切监测脑血流动力学,包括颅内血流和压力。磁共振成像(MRI)或腰椎穿刺的反复评估可能是困难的,因此TCD可能在这些患者的管理中发挥重要作用。我们在此报告一例合并血管病变的脑转移患者,其表现为脑后动脉(PCA)、中动脉(MCA)和大脑前动脉(ACA)血流速度升高。经ATT和类固醇治疗后,这些变化是可逆的。
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