Gomez C R, Gomez S M, Yoon K W, Kraus G E
Department of Neurology, St. Louis University Medical Center, Missouri.
Neurosurgery. 1989 May;24(5):749-53. doi: 10.1227/00006123-198905000-00015.
The availability of transcranial Doppler sonography has resulted in an easy, noninvasive, reproducible, and highly reliable method for evaluating the flow characteristics of carotid-cavernous sinus fistulas. It also allows the follow-up of the effect of different interventional measures, specifically, embolization with detachable balloons. An illustrative case is reported, in which the findings of serial transcranial Doppler sonograms are correlated with findings on computed tomographic scans and angiograms. The impact of our findings on future approaches to the hemodynamic classification of these acquired vascular shunts is discussed.
经颅多普勒超声检查的应用,为评估颈内动脉海绵窦瘘的血流特征提供了一种简便、无创、可重复且高度可靠的方法。它还能对不同介入措施(特别是可脱性球囊栓塞)的效果进行随访。本文报告了一个典型病例,其中系列经颅多普勒超声检查结果与计算机断层扫描及血管造影结果相关。同时讨论了我们的研究结果对这些后天性血管分流的血流动力学分类未来方法的影响。