Transcranial Doppler validation of hemodynamic vertebrobasilar insufficiency diagnosis.

G Illuminati, F G Caliò, A Bertagni, F Vietri, V Martinelli
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Abstract

Transcranial Doppler (TCD) can be useful in the diagnosis and validation of surgical treatment of vertebrobasilar insufficiency (VBI). A case is reported in which TCD confirmed the diagnosis of vertebrobasilar insufficiency and validated the indication of surgery by detecting a bidirectional flow in a stenotic and compressed vertebral artery. In the postoperative period and at late follow-up TCD demonstrated a restored antegrade flow, as a consequence of a well functioning revascularization. Surgical indication of VBI is rare and TCD can be proposed as part of routine patients' study before a surgical decision is taken.

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经颅多普勒血流动力学验证椎基底动脉功能不全诊断。
经颅多普勒(TCD)可用于椎基底动脉功能不全(VBI)的诊断和手术治疗的验证。本文报告一例TCD通过检测狭窄和受压椎动脉的双向血流,证实了椎基底动脉功能不全的诊断,并证实了手术的指征。在术后和后期随访中,由于功能良好的血运重建,TCD显示出顺行血流的恢复。VBI的手术指征很少,TCD可以作为常规患者研究的一部分,然后再做出手术决定。
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