The role of transcranial Doppler ultrasonography in the diagnosis and management of vasospasm after aneurysmal subarachnoid hemorrhage

Neurosurg Clin N Am. 2010 Apr;21(2):291-303. doi: 10.1016/


Transcranial Doppler ultrasonography (TCD) is a tool employed by the neurosurgeon and neurointensivist in the management of vasospasm in the intensive care unit after aneurysmal subarachnoid hemorrhage. A review of the current indications, monitoring parameters, indices, and relevance of modern TCD technology is provided, as well as algorithms for the use of TCD ultrasonography in the management of patients with subarachnoid hemorrhage. Other current uses of TCD ultrasonography are also discussed in the setting of neurocritical care.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Brain Death / diagnostic imaging
  • Brain Injuries / diagnostic imaging
  • Brain Injuries / physiopathology
  • Cerebral Arteries / diagnostic imaging*
  • Cerebral Arteries / physiopathology
  • Cerebrovascular Circulation / physiology
  • Humans
  • Predictive Value of Tests
  • Sex Characteristics
  • Subarachnoid Hemorrhage / complications*
  • Ultrasonography, Doppler, Transcranial / methods*
  • Ultrasonography, Doppler, Transcranial / standards
  • Ultrasonography, Doppler, Transcranial / trends
  • Vasospasm, Intracranial / diagnostic imaging*
  • Vasospasm, Intracranial / physiopathology
  • Vasospasm, Intracranial / therapy