Transcranial Doppler in patients with Decompressive Hemicraniectomy

A certain percentage of patients have poor windows for TCDs. Hemicraniectomy patients have an outstanding window that allow real-time imaging of the brain structures. TCD is underutilized in hemicraniectomy patients.

Possible uses:

1. Monitoring post-op complications – hygromas, SDH

2. Monitor midline shift

References

Srinivasan, V., Smith, M. and Bonomo, J. (2019). Bedside Cranial Ultrasonography in Patients with Hemicraniectomies: A Novel Window into Pathology. Neurocritical Care.

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