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Transcranial Doppler in Acute Hemispheric Brain Infarction Neurol 41:109-113, Kushner,M.J.,et al, 1991 See this aricle in Pubmed Article Abstract We studied cerebrovascular anatomy using intra-arterial digital angiography,and blood flow velocity in the middle cerebral artery(MCA) using transcranial Doppler(TCD)ultrasonography in 42 patients with acute hemispheric ischemic brain infarction.We compared angiography with TDC and the clinical findings within 6 hours of the onset of the symptoms.The location and extent of the chronic ischemic brain damage was assessed by CT performed 1 to 3 months after the ictus.Abnormal TCD,as manifested by either an unobtainable MCA flow signal or a significantly depressed MCA flow velocity,was highly associated with proximal MCA occlusions demonstrated by angiography.Abnormal TCD predicted both larger chronic CT lesions and more extensive ischemic change within the MCA territory.These data demonstrate that early TCD conveys useful information concerning cerebral tissue prognosis following hemispheric ischemia.

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(click to filter results - removes previous filter) carotid artery occlusion,intracranial carotid artery occlusion,neck carotid siphon carotid-siphon occlusion CAT scan CAT scan,abnormal cerebrovascular accident doppler doppler,transcranial middle cerebral artery,occlusion of prognosis

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