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Klinische Neurophysiologie 2008; 39(2): 111-124
DOI: 10.1055/s-2008-1067369
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© Georg Thieme Verlag KG Stuttgart · New York

Ultraschalldiagnostik zerebrovaskulärer Krankheiten in der Akutphase und Nachsorge

Ultrasound Diagnosis of Cerebrovascular Diseases in the Acute Phase and Follow-UpM.  Jauß, H.  M.  Hamer
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Publication History

Publication Date:
09 June 2008 (online)

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Neurosonologie ist in der Akutdiagnostik nach Hirninfarkt oder transitorisch ischämischer Attacke und für therapeutische Entscheidungen zur Sekundärprävention ein unverzichtbares Hilfsmittel. Hier soll ein Überblick über etablierte Methoden und wichtige Innovationen auf dem Gebiet neurosonologischer Untersuchungsmethoden und deren therapeutische Konsequenzen gegeben werden.

Literatur

  • 1 Leys D, Ringelstein E B, Kaste M, Hacke W. Facilities available in European hospitals treating stroke patients.  Stroke. 2007;  38 (11) 2985-2991
    CrossrefPubMedGoogle Scholar
  • 2 Gerriets T, Goertler M, Stolz E. et al . Feasibility and validity of transcranial duplex sonography in patients with acute stroke.  J Neurol Neurosurg Psychiatry. 2002;  73 (1) 17-20
    CrossrefPubMedGoogle Scholar
  • 3 Rothwell P M, Gibson R J, Slattery J, Warlow C P. Prognostic value and reproducibility of measurements of carotid stenosis. A comparison of three methods on 1001 angiograms. European Carotid Surgery Trialists' Collaborative Group.  Stroke. 1994;  25 (12) 2440-2444
    CrossrefPubMedGoogle Scholar
  • 4 Baumgartner R W, Mattle H P, Schroth G. Assessment of ≥ 50 % and < 50 % intracranial stenoses by transcranial color-coded duplex sonography.  Stroke. 1999;  30 (1) 87-92
    CrossrefPubMedGoogle Scholar
  • 5 Benninger D H, Georgiadis D, Gandjour J, Baumgartner R W. Accuracy of color duplex ultrasound diagnosis of spontaneous carotid dissection causing ischemia.  Stroke. 2006;  37 (2) 377-381
    CrossrefPubMedGoogle Scholar
  • 6 Arnold M, Baumgartner R W, Stapf C. et al . Ultrasound diagnosis of spontaneous carotid dissection with isolated Horner syndrome.  Stroke. 2008;  39 (1) 82-86
    CrossrefPubMedGoogle Scholar
  • 7 Bhatti A F, Leon Jr L R, Labropoulos N. et al . Free-floating thrombus of the carotid artery: literature review and case reports.  J Vasc Surg. 2007;  45 (1) 199-205
    CrossrefPubMedGoogle Scholar
  • 8 Hacke W, Donnan G, Fieschi C. et al . Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials.  Lancet. 2004;  363 (9411) 768-774
    CrossrefPubMedGoogle Scholar
  • 9 Wahlgren N, Ahmed N, Davalos A. et al . Thrombolysis with alteplase for acute ischaemic stroke in the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST): an observational study.  Lancet. 2007;  369 (9558) 275-282
    CrossrefPubMedGoogle Scholar
  • 10 Jauss M, Allendörfer J, Stolz E, Schütz H J, Misselwitz B. Treatment Results of Stroke Patients Aged > 80 Years Receiving Intravenous rt-PA.  Cerebrovasc Dis. 2007;  24 (2 - 3) 305-306
    CrossrefPubMedGoogle Scholar
  • 11 Alexandrov A V, Felberg R A, Demchuk A M. et al . Deterioration following spontaneous improvement: sonographic findings in patients with acutely resolving symptoms of cerebral ischemia.  Stroke. 2000;  31 (4) 915-919
    PubMedGoogle Scholar
  • 12 Barber P A, Zhang J, Demchuk A M, Hill M D, Buchan A M. Why are stroke patients excluded from TPA therapy? An analysis of patient eligibility.  Neurology. 2001;  56 (8) 1015-1020
    CrossrefPubMedGoogle Scholar
  • 13 Saqqur M, Uchino K, Demchuk A M. et al . Site of arterial occlusion identified by transcranial Doppler predicts the response to intravenous thrombolysis for stroke.  Stroke. 2007;  38 (3) 948-954
    CrossrefPubMedGoogle Scholar
  • 14 Kane I, Sandercock P, Wardlaw J. Magnetic resonance perfusion diffusion mismatch and thrombolysis in acute ischaemic stroke: a systematic review of the evidence to date.  J Neurol Neurosurg Psychiatry. 2007;  78 (5) 485-491
    PubMedGoogle Scholar
  • 15 Chiu D, Krieger D, Villar-Cordova C. et al . Intravenous tissue plasminogen activator for acute ischemic stroke: feasibility, safety, and efficacy in the first year of clinical practice.  Stroke. 1998;  29 (1) 18-22
    PubMedGoogle Scholar
  • 16 De Keyser J, Gdovinova Z, Uyttenboogaart M, Vroomen P C, Luijckx G J. Intravenous alteplase for stroke: beyond the guidelines and in particular clinical situations.  Stroke. 2007;  38 (9) 2612-2618
    CrossrefPubMedGoogle Scholar
  • 17 Gerriets T, Stolz E, Modrau B, Fiss I, Seidel G, Kaps M. Sonographic monitoring of midline shift in hemispheric infarctions.  Neurology. 1999;  52 (1) 45-49
    CrossrefPubMedGoogle Scholar
  • 18 Vahedi K, Hofmeijer J, Juettler E. et al . Early decompressive surgery in malignant infarction of the middle cerebral artery: a pooled analysis of three randomised controlled trials.  Lancet Neurol. 2007;  6 (3) 215-222
    CrossrefPubMedGoogle Scholar
  • 19 Meyer K, Seidel G. Transcranial contrast diminution imaging of the human brain: a pilot study in healthy volunteers.  Ultrasound Med Biol. 2002;  28 (11 - 12) 1433-1437
    CrossrefPubMedGoogle Scholar
  • 20 Wiesmann M, Meyer K, Albers T, Seidel G. Parametric perfusion imaging with contrast-enhanced ultrasound in acute ischemic stroke.  Stroke. 2004;  35 (2) 508-513
    CrossrefPubMedGoogle Scholar
  • 21 Eyding J, Krogias C, Schollhammer M. et al . Contrast-enhanced ultrasonic parametric perfusion imaging detects dysfunctional tissue at risk in acute MCA stroke.  J Cereb Blood Flow Metab. 2006;  26 (4) 576-582
    CrossrefPubMedGoogle Scholar
  • 22 Alexandrov A V, Molina C A, Grotta J C. et al . Ultrasound-enhanced systemic thrombolysis for acute ischemic stroke.  N Engl J Med. 2004;  351 (21) 2170-2178
    CrossrefPubMedGoogle Scholar
  • 23 Molina C A, Ribo M, Rubiera M. et al . Microbubble administration accelerates clot lysis during continuous 2-MHz ultrasound monitoring in stroke patients treated with intravenous tissue plasminogen activator.  Stroke. 2006;  37 (2) 425-429
    CrossrefPubMedGoogle Scholar
  • 24 Daffertshofer M, Gass A, Ringleb P. et al . Transcranial low-frequency ultrasound-mediated thrombolysis in brain ischemia: increased risk of hemorrhage with combined ultrasound and tissue plasminogen activator: results of a phase II clinical trial.  Stroke. 2005;  36 (7) 1441-1446
    CrossrefPubMedGoogle Scholar
  • 25 Wunderlich M T, Goertler M, Postert T. et al . Recanalization after intravenous thrombolysis: does a recanalization time window exist?.  Neurology. 2007;  68 (17) 1364-1368
    CrossrefPubMedGoogle Scholar
  • 26 Allendörfer J, Goertler M, Reutern G M von. Prognostic relevance of ultra-early doppler sonography in acute ischaemic stroke: a prospective multicentre study.  Lancet Neurol. 2006;  5 (10) 835-840
    CrossrefPubMedGoogle Scholar
  • 27 Rothwell P M, Eliasziw M, Gutnikov S A, Warlow C P, Barnett H J. Endarterectomy for symptomatic carotid stenosis in relation to clinical subgroups and timing of surgery.  Lancet. 2004;  363 (9413) 915-924
    CrossrefPubMedGoogle Scholar
  • 28 Ringleb P A, Allenberg J, Bruckmann H. et al . 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial.  Lancet. 2006;  368 (9543) 1239-1247
    CrossrefPubMedGoogle Scholar
  • 29 Kaps M. Stenosen und Verschlüsse des extrakraniellen Karotissystems. In: Kaps M, Reutern G-M von, Stolz E, Büdingen HJ von (eds) Ultraschall in der Neurologie. 3 ed. Stuttgart; Thieme 2005: 114-132
    Google Scholar
  • 30 Chimowitz M I, Lynn M J, Howlett-Smith H. et al . Comparison of warfarin and aspirin for symptomatic intracranial arterial stenosis.  N Engl J Med. 2005;  352 (13) 1305-1316
    CrossrefPubMedGoogle Scholar
  • 31 Droste D W, Markus H S, Nassiri D, Brown M M. The effect of velocity on the appearance of embolic signals studied in transcranial Doppler models.  Stroke. 1994;  25 986-991
    PubMedGoogle Scholar
  • 32 Markus H S, Droste D W, Kaps M. et al . Dual antiplatelet therapy with clopidogrel and aspirin in symptomatic carotid stenosis evaluated using doppler embolic signal detection: the Clopidogrel and Aspirin for Reduction of Emboli in Symptomatic Carotid Stenosis (CARESS) trial.  Circulation. 2005;  111 (17) 2233-2240
    CrossrefPubMedGoogle Scholar
  • 33 Kraywinkel K, Jauss M, Diener H C, Weimar C. Offenes Foramen ovale, Vorhofseptumaneurysma und Hirninfarkt: Übersicht über die bisherige Evidenzlage.  Nervenarzt. 2005;  76 (8) 935-942
    CrossrefPubMedGoogle Scholar
  • 34 Jauss M, Zanette E. Detection of right-to-left shunt with ultrasound contrast agent and transcranial Doppler sonography.  Cerebrovasc Dis. 2000;  10 (6) 490-496
    CrossrefPubMedGoogle Scholar
  • 35 Homma S, Sacco R L, Di Tullio M R, Sciacca R R, Mohr J P. Effect of medical treatment in stroke patients with patent foramen ovale: patent foramen ovale in Cryptogenic Stroke Study.  Circulation. 2002;  105 (82) 2625-2631
    CrossrefPubMedGoogle Scholar
  • 36 Nedeltchev K, Arnold M, Wahl A. et al . Outcome of patients with cryptogenic stroke and patent foramen ovale.  J Neurol Neurosurg Psychiatry. 2002;  72 (3) 347-350
    CrossrefPubMedGoogle Scholar
  • 37 Mas J L, Arquizan C, Lamy C. et al . Recurrent Cerebrovascular Events Associated with Patent Foramen Ovale, Atrial Septal Aneurysm, or Both.  N Engl J Med. 2001;  345 (24) 1740-1746
    CrossrefPubMedGoogle Scholar
  • 38 Portig I, Maisch B. Nichtinvasive diagnostische Methoden der Makro- und Mikroangiopathie der peripheren Gefäße und Karotiden.  Herz. 2004;  29 (1) 17-25
    PubMedGoogle Scholar
  • 39 Weimar C, Goertler M, Röther J. et al . Systemic Risk Score Evaluation in Ischemic Stroke Patients (SCALA): A prospective cross sectional study in 85 German stroke units.  J Neurol. 2007;  254 (11) 1562-1568
    CrossrefPubMedGoogle Scholar

Priv.-Doz. Dr. med. M. Jauß

Chefarzt der Neurologischen Klinik, Ökumenisches Hainich Klinikum gGmbH

Pfafferode 102

99974 Mühlhausen/Thür.

Email: m.jauss@oehk.de

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