|
KMID : 1034720190110010046
|
|
Journal of Neurosonology and Neuroimaging
2019 Volume.11 No. 1 p.46 ~ p.61
|
|
|
Neurosonology for Unconscious or Neurocritically Ill Patients
|
|
Lee Seong-Joon
Ahn Jung-Hwan
Hong Ji-Man
|
|
|
Abstract
|
|
|
|
Evaluating unconscious patients is a diagnostic and therapeutic challenge for emergency neurology practitioners and critical care neurologists. Although much of the underlying pathology of altered mental status can be life-threatening, it is also potentially reversible with timely interventions. Thus, thorough neurological exams and rapid neurological imaging are needed for accurate diagnosis. Ultrasound is a safe and effective form of imaging that can assist in the diagnostic process as a sole modality if advanced imaging is not available or as an adjunct technique that can provide further information regarding the temporal course of the patient’s condition. In particular, transcranial Doppler ultrasound (TCD) can be used to detect intracranial large artery occlusions and aid in selecting patients eligible for reperfusion therapy. TCD-based information can also be used to monitor vasospasm after subarachnoid hemorrhage. Furthermore, TCD, as well as other forms of ultrasound, can detect increases in intracranial pressure noninvasively. Bedside ultrasound of the cardiovascular and thoracic systems can be also performed in a sequential framework for goal-directed therapy in the neurocritical care unit. In this review, we discuss the use of ultrasound in such situations.
|
|
|
KEYWORD
|
|
|
Ultrasonography, Doppler, Transcranial, Intracranial hypertension, Echocardiography, Point-of-care systems
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|