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Selami SERHATLIOĞLU1, Hadi UYSAL1, Özgür KOCAÖZ1, Fatih S. EROL2, Polat DURUKAN3, Erkin OĞUR1

Yıl 2005, Cilt: 10 Sayı: 1, 18 - 23, 01.02.2005

Selami Serhatlıoğlu Hadi Uysal Özgür Kocaöz Fatih S. Erol Polat Durukan Erkin Oğur

Öz

[ Turkish ] [ Tam Metin ] [ PDF ]

Anahtar Kelimeler

-

Kaynakça

  • Dietrich AM, Bowman MJ, Ginn-Pease ME ve ark. Pediatric head injuries: can clinical factors reliably predict an abnormality on computed tomography? Ann Emerg Med 1993; 22: 1535- 1540.
  • Ingebrigtsen T, Romner B, Kock-Jensen C. Scandinavian Guidelines for Initial Management of Minimal, Mild and Moderate Head Injuries. J Trauma 2000; 18: 760-766.
  • Ramundo ML, Knight T, Kempf J ve ark. Clinical predictors of computed tomographic abnormalities following pediatric traumatic brain injury. Pediatr Emerg Care 1995; 11: 1-4.
  • Taheri PA, Karamanoukian H, Gibbons K ve ark. Can patients with minör head injuries be safely discharged home? Arch Surg 1993; 128: 289-292.
  • Stiell IG, Wells GA, Vandemheen K ve ark. Variation in ED use of computed tomography for patient with minör head injury . Ann Emerg Med 1997; 30: 14-22.
  • Teasdale G, Jennet B. Assessment of coma and impaired consciousness: a practical scale. Lancet 1974; 2: 81-4.
  • Maslanka AM. Scoring Systems and Triage from the Field. Emerg Med Clin North Am 1993; 11: 15-27.
  • Stokely EM, Sveinsdottir E, Lassen NA ve ark. A single photon dynamic computer assisted tomograph (DCAT) for imaging brain function in multiple cross sections. J Comput Assist Tomogr 1980; 4: 230-240.
  • Aaslid R, Markwalder TM, Normes H. Non-lnvasive Transcranial Doppler Ultrasound Recording Of Flow Velocity in Basal Cerebral Arteries. J Neurosurg 1982; 57: 769-774.
  • Grolimund P, Seller RW, Aaslid R ve ark. Evaluation Of Cerebrovascular Disease By Combined Extracranial And Transcranial Doppler Sonography: Experience in 1039 Patients. Stroke 1987; 18: 1018-1024.
  • Maeda H, Matsumoto M, Handa N ve ark. Reactivity of cerebral blood flow to carbon dioxide in various types of ischemic cerebrovascular disease: Evaluation of the transcranial Doppler method. Stroke 1993; 24: 670-675.
  • Silvestrini M, Caltagirone C, Cupini LM ve ark. Activation of healthy hemisphere in poststroke recovery. Stroke 1993; 24: 1673-1677.
  • Spencer MP, Whisler D. Transorbital Doppler diagnosis of transcranial arterial stenosis. Stroke 1986; 17: 916.
  • Hurst RW, Schnee C, Raps EC ve ark. Role of transcranial Doppler in neuroradiological treatment of intracranial vasospasm. Stroke 1993; 24: 299-303.
  • Sloan MA, Burch CM, Wozniak MA ve ark. Transcranial Doppler detection of vertebrobasillar vasospasm following subarachnoid hemorrage. Stroke 1994; 25: 2187-2197.
  • Anzola GP, Gasporatti R, Magoni M ve ark. Transcranial Doppler sonography and magnetic resonance angiography in the assesment of collateral hemispheric flow in patients with carotid artery disease. Stroke 1995; 26: 214-127.
  • Furst H, Hartl WH, Janssen I. Patterns of cerebrovascular reactivity in patients with unilateral asymptomatic carotid artery stenosis. Stroke 1994; 25: 1193-1200.
  • Silvestrini M, Cupini M, Matteis M. Transcranial Doppler assesment of the function effects of the functional effects of symptomatic carotid stenosis. Neurol 1994; 44: 1910-1914.
  • Heyman A, Patterson JL, Duke TW. Cerebral circulation and metobolism in sickle cell and chronic anemias, with observations on the effects of oxygen inhalation. J Clin İnvest 1952; 31: 824- 828.
  • Adams R, McKie V, Nichols F. The use of transcranial ultrasonography to predict stroke in sickle cell disease. N Engl J Med 1992; 326: 605-610.
  • Bunegin L, Wahl D, Albin MS. Detection and volume estimate of embolic air middle cerebral artery using transcranial Doppler sonography. Stroke 1994; 25: 593-600.
  • Grosset DG, Georgiades D, Kelman AW ve ark. Quantification of ultrasound emboli signals in patients with cardiac and carotid disease. Stroke 1993; 24: 1922-1924.
  • Itoh T, Matsumoto M, Handa N ve ark. Paradoxical embolism as a cause of ischemic stroke of uncertain etiology. Stroke 1994; 25: 773-775.
  • Giller CA, Purdy P, Batjer HH ve ark. Elevated Transcranial Doppler ultrasound velocities following therapeutic arterial dilation. Stroke 1995; 26: 123-127.
  • Mandera M, Larysz D, Wojtacha M. Changes in cerebral hemodynamics assessed by transcranial Doppler ultrasonography in children after head injury. Childs Nerv Syst 2002; 18: 124-8.
  • Van Santbrink H, Schouten JW, Steyerberg EW ve ark. Serial transcranial Doppler measurements in traumatic brain injury with special focus on the early posttraumatic period. Acta Neurochir 2002; 144: 1141-1149.
  • Zubkov AY, Lewis AI, Raila FA ve ark. Risk factors for the development of post-traumatic cerebral vasospasm. Surg Neurol 2000; 53: 126-30.
  • Czosnyka M, Smielewski P, Piechnik S ve ark. Cerebral autoregulation following head injury. J Neurosurg 2001; 95: 756- 63.
  • Bouma GJ, Muizelaar JP, Stringer WA ve ark. Ultra-early evaluation of regional cerebral blood flow in severely head- injured patients using xenon enhanced computerized tomography. J Neurosurg 1992; 77: 360-368.
  • Marion DW, Darby J, Yonas H. Acute regional cerebral blood flow changes caused by severe head injuries. J Neurosurg 1991; 74 : 407-414.
  • Bouma GJ, Muizelaar JP, Choi SC ve ark. Cerebral circulation and metabolism after severe traumatic brain injury: the elusive role of ischemia. J Neurosurg 1991; 75: 685-693.
  • Martin NA, Patwardhan RV, Alexander MJ ve ark. Characterization of cerebral hemodynamic phases following severe head trauma: hypoperfusion, hyperemia, and vasospasm. J Neurosurg 1997; 87: 9-19.
  • Overgaard J, Mosdal C, Tweed WA. Cerebral circulation after head injury. Part 3: Does reduced regional cerebral blood flow determine recovery of brain function after blunt head injury? J Neurosurg 1981; 55: 63-74.
  • Simon B, Letourneau P, Vitorino E ve ark. Pediatric minor head trauma: indications for computed tomographic scanning revisited. J Trauma 2001; 51: 231-237.
  • Kaspera W, Maliszewski M, Majchrzak H ve ark. Assessment of cerebral blood flow velocity changes by transcranial Doppler examination in patients with closed craniocerebral trauma. Neurol Neurochir Pol 1997; 31: 493-507.
  • Kaspera W, Majchrzak H, Zientek A. Dynamics of cerebral circulation on the basis of transcranial Doppler ultrasonography evaluation in patients with moderate and minor head injury. Neurol Neurochir Pol 2001; 35: 261-279.
  • Chhabra R, Sharma BS, Gupta SK ve ark. Traumatic subarachnoid haemorrhage: a clinicoradiological and TCD correlation. Neurol India 2001; 49: 138-143.
  • Compton JS, Teddy PJ. Cerebral arterial vasospasm following severe head injury: a transcranial Doppler study. Br J Neurosurg 1987; 1: 435-439.
  • Jarus-Dziedzic K, Juniewicz H, Wronski J ve ark. The relation between cerebral blood flow velocities as measured by TCD and the incidence of delayed ischemic deficits. A prospective study after subarachnoid hemorrhage. Neurological Research 2002; 24: 582-592.
  • Kabul Tarihi:01.03.2005

Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi ile İncelenmesi

Yıl 2005, Cilt: 10 Sayı: 1, 18 - 23, 01.02.2005

Selami Serhatlıoğlu Hadi Uysal Özgür Kocaöz Fatih S. Erol Polat Durukan Erkin Oğur

Öz

Amaç: Ucuz, non invaziv ve kullanımı kolay bir yöntem olan Transkraniyal Doppler Ultrasonografi(TKDU), ana intrakraniyal arterlerdeki stenozun ve kollateral dolaşımın değerlendirilmesi, ekstrakraniyal oklüziv hastalığın intrakraniyal kan akımı üzerine etkisinin değerlendirilmesi, AVM taraması ve beyin ölümü tespiti için yaygın olarak kullanılmaktadır. Fonksiyonel testlerle serebral rezervin saptanması, menenjitte, migrende ve posttravmatik hemodinaminin değerlendirilmesi gibi konularda yeni çalışmalar yapılmaktadır. Biz de bu çalışmada minör kafa travmalı hastalarda posttravmatik serebral hemodinamik değişiklikleri değerlendirmeyi amaçladık. Gereç ve Yöntem: Temmuz 2003 ile Şubat 2004 tarihleri arasında minör kafa travmalı (MKT) 44 hasta (Grup 1) posttravmatik ilk 8 saat içerisinde değerlendirildi. Sağlıklı 24 bireyden kontrol grubu (Grup 2)oluşturuldu.Transtemporal bakı ile bilateral orta serebral arter (MCA),submandibular bakı ile internal karotid arter (İCA) akımları ölçüldü. Gruplar yaş, cinsiyet, MCA akım parametreleri, ekstrakranial İCA ortalama akımları, VMCA/VİCA oranları açısından birbiriyle karşılaştırıldı. Bulgular: Gruplar arasında yaş ve cinsiyet açısından istatistiksel anlamlı fark yoktu MKT'li olguların MCA akım hızları, rezistif (Rİ) ve pulsatilite indeksleri (Pİ) normal gruba göre anlamlı olarak yüksek bulundu. Buna karşılık İCA akımları ve VMCA/VİCA oranları açısından anlamlı fark saptanmadı (p>0.05). 6 vakada (%13.6) hiperemi ile uyumlu bulgular izlenirken hiçbir hastada vazospazm yoktu. Sonuç: MKT'li hastalarda MCA akım hızlarında, pulsatilite indeksleri(Pİ) ve rezistif indeks, (Rİ)'lerinde artış izlenmektedir. Bizim bulgularımız literatürde bildirilen minör kafa travmalarında vazospazmın beklenen bir bulgu olmadığı, buna karşılık hiperemi değerlerinin düşük oranda izlenebileceği kanaatini desteklemektedir.

Anahtar Kelimeler

Kafa travması doppler US transkraniyal

Kaynakça

  • Dietrich AM, Bowman MJ, Ginn-Pease ME ve ark. Pediatric head injuries: can clinical factors reliably predict an abnormality on computed tomography? Ann Emerg Med 1993; 22: 1535- 1540.
  • Ingebrigtsen T, Romner B, Kock-Jensen C. Scandinavian Guidelines for Initial Management of Minimal, Mild and Moderate Head Injuries. J Trauma 2000; 18: 760-766.
  • Ramundo ML, Knight T, Kempf J ve ark. Clinical predictors of computed tomographic abnormalities following pediatric traumatic brain injury. Pediatr Emerg Care 1995; 11: 1-4.
  • Taheri PA, Karamanoukian H, Gibbons K ve ark. Can patients with minör head injuries be safely discharged home? Arch Surg 1993; 128: 289-292.
  • Stiell IG, Wells GA, Vandemheen K ve ark. Variation in ED use of computed tomography for patient with minör head injury . Ann Emerg Med 1997; 30: 14-22.
  • Teasdale G, Jennet B. Assessment of coma and impaired consciousness: a practical scale. Lancet 1974; 2: 81-4.
  • Maslanka AM. Scoring Systems and Triage from the Field. Emerg Med Clin North Am 1993; 11: 15-27.
  • Stokely EM, Sveinsdottir E, Lassen NA ve ark. A single photon dynamic computer assisted tomograph (DCAT) for imaging brain function in multiple cross sections. J Comput Assist Tomogr 1980; 4: 230-240.
  • Aaslid R, Markwalder TM, Normes H. Non-lnvasive Transcranial Doppler Ultrasound Recording Of Flow Velocity in Basal Cerebral Arteries. J Neurosurg 1982; 57: 769-774.
  • Grolimund P, Seller RW, Aaslid R ve ark. Evaluation Of Cerebrovascular Disease By Combined Extracranial And Transcranial Doppler Sonography: Experience in 1039 Patients. Stroke 1987; 18: 1018-1024.
  • Maeda H, Matsumoto M, Handa N ve ark. Reactivity of cerebral blood flow to carbon dioxide in various types of ischemic cerebrovascular disease: Evaluation of the transcranial Doppler method. Stroke 1993; 24: 670-675.
  • Silvestrini M, Caltagirone C, Cupini LM ve ark. Activation of healthy hemisphere in poststroke recovery. Stroke 1993; 24: 1673-1677.
  • Spencer MP, Whisler D. Transorbital Doppler diagnosis of transcranial arterial stenosis. Stroke 1986; 17: 916.
  • Hurst RW, Schnee C, Raps EC ve ark. Role of transcranial Doppler in neuroradiological treatment of intracranial vasospasm. Stroke 1993; 24: 299-303.
  • Sloan MA, Burch CM, Wozniak MA ve ark. Transcranial Doppler detection of vertebrobasillar vasospasm following subarachnoid hemorrage. Stroke 1994; 25: 2187-2197.
  • Anzola GP, Gasporatti R, Magoni M ve ark. Transcranial Doppler sonography and magnetic resonance angiography in the assesment of collateral hemispheric flow in patients with carotid artery disease. Stroke 1995; 26: 214-127.
  • Furst H, Hartl WH, Janssen I. Patterns of cerebrovascular reactivity in patients with unilateral asymptomatic carotid artery stenosis. Stroke 1994; 25: 1193-1200.
  • Silvestrini M, Cupini M, Matteis M. Transcranial Doppler assesment of the function effects of the functional effects of symptomatic carotid stenosis. Neurol 1994; 44: 1910-1914.
  • Heyman A, Patterson JL, Duke TW. Cerebral circulation and metobolism in sickle cell and chronic anemias, with observations on the effects of oxygen inhalation. J Clin İnvest 1952; 31: 824- 828.
  • Adams R, McKie V, Nichols F. The use of transcranial ultrasonography to predict stroke in sickle cell disease. N Engl J Med 1992; 326: 605-610.
  • Bunegin L, Wahl D, Albin MS. Detection and volume estimate of embolic air middle cerebral artery using transcranial Doppler sonography. Stroke 1994; 25: 593-600.
  • Grosset DG, Georgiades D, Kelman AW ve ark. Quantification of ultrasound emboli signals in patients with cardiac and carotid disease. Stroke 1993; 24: 1922-1924.
  • Itoh T, Matsumoto M, Handa N ve ark. Paradoxical embolism as a cause of ischemic stroke of uncertain etiology. Stroke 1994; 25: 773-775.
  • Giller CA, Purdy P, Batjer HH ve ark. Elevated Transcranial Doppler ultrasound velocities following therapeutic arterial dilation. Stroke 1995; 26: 123-127.
  • Mandera M, Larysz D, Wojtacha M. Changes in cerebral hemodynamics assessed by transcranial Doppler ultrasonography in children after head injury. Childs Nerv Syst 2002; 18: 124-8.
  • Van Santbrink H, Schouten JW, Steyerberg EW ve ark. Serial transcranial Doppler measurements in traumatic brain injury with special focus on the early posttraumatic period. Acta Neurochir 2002; 144: 1141-1149.
  • Zubkov AY, Lewis AI, Raila FA ve ark. Risk factors for the development of post-traumatic cerebral vasospasm. Surg Neurol 2000; 53: 126-30.
  • Czosnyka M, Smielewski P, Piechnik S ve ark. Cerebral autoregulation following head injury. J Neurosurg 2001; 95: 756- 63.
  • Bouma GJ, Muizelaar JP, Stringer WA ve ark. Ultra-early evaluation of regional cerebral blood flow in severely head- injured patients using xenon enhanced computerized tomography. J Neurosurg 1992; 77: 360-368.
  • Marion DW, Darby J, Yonas H. Acute regional cerebral blood flow changes caused by severe head injuries. J Neurosurg 1991; 74 : 407-414.
  • Bouma GJ, Muizelaar JP, Choi SC ve ark. Cerebral circulation and metabolism after severe traumatic brain injury: the elusive role of ischemia. J Neurosurg 1991; 75: 685-693.
  • Martin NA, Patwardhan RV, Alexander MJ ve ark. Characterization of cerebral hemodynamic phases following severe head trauma: hypoperfusion, hyperemia, and vasospasm. J Neurosurg 1997; 87: 9-19.
  • Overgaard J, Mosdal C, Tweed WA. Cerebral circulation after head injury. Part 3: Does reduced regional cerebral blood flow determine recovery of brain function after blunt head injury? J Neurosurg 1981; 55: 63-74.
  • Simon B, Letourneau P, Vitorino E ve ark. Pediatric minor head trauma: indications for computed tomographic scanning revisited. J Trauma 2001; 51: 231-237.
  • Kaspera W, Maliszewski M, Majchrzak H ve ark. Assessment of cerebral blood flow velocity changes by transcranial Doppler examination in patients with closed craniocerebral trauma. Neurol Neurochir Pol 1997; 31: 493-507.
  • Kaspera W, Majchrzak H, Zientek A. Dynamics of cerebral circulation on the basis of transcranial Doppler ultrasonography evaluation in patients with moderate and minor head injury. Neurol Neurochir Pol 2001; 35: 261-279.
  • Chhabra R, Sharma BS, Gupta SK ve ark. Traumatic subarachnoid haemorrhage: a clinicoradiological and TCD correlation. Neurol India 2001; 49: 138-143.
  • Compton JS, Teddy PJ. Cerebral arterial vasospasm following severe head injury: a transcranial Doppler study. Br J Neurosurg 1987; 1: 435-439.
  • Jarus-Dziedzic K, Juniewicz H, Wronski J ve ark. The relation between cerebral blood flow velocities as measured by TCD and the incidence of delayed ischemic deficits. A prospective study after subarachnoid hemorrhage. Neurological Research 2002; 24: 582-592.
  • Kabul Tarihi:01.03.2005
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Selami Serhatlıoğlu Bu kişi benim

Hadi Uysal Bu kişi benim

Özgür Kocaöz Bu kişi benim

Fatih S. Erol Bu kişi benim

Polat Durukan Bu kişi benim

Erkin Oğur Bu kişi benim

Yayımlanma Tarihi 1 Şubat 2005
Yayımlandığı Sayı Yıl 2005 Cilt: 10 Sayı: 1

Kaynak Göster

APA Serhatlıoğlu, S., Uysal, H., Kocaöz, Ö., Erol, F. S., vd. (2005). Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi ile İncelenmesi. Fırat Tıp Dergisi, 10(1), 18-23.
AMA Serhatlıoğlu S, Uysal H, Kocaöz Ö, Erol FS, Durukan P, Oğur E. Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi ile İncelenmesi. Fırat Tıp Dergisi. Şubat 2005;10(1):18-23.
Chicago Serhatlıoğlu, Selami, Hadi Uysal, Özgür Kocaöz, Fatih S. Erol, Polat Durukan, ve Erkin Oğur. “Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi Ile İncelenmesi”. Fırat Tıp Dergisi 10, sy. 1 (Şubat 2005): 18-23.
EndNote Serhatlıoğlu S, Uysal H, Kocaöz Ö, Erol FS, Durukan P, Oğur E (01 Şubat 2005) Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi ile İncelenmesi. Fırat Tıp Dergisi 10 1 18–23.
IEEE S. Serhatlıoğlu, H. Uysal, Ö. Kocaöz, F. S. Erol, P. Durukan, ve E. Oğur, “Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi ile İncelenmesi”, Fırat Tıp Dergisi, c. 10, sy. 1, ss. 18–23, 2005.
ISNAD Serhatlıoğlu, Selami vd. “Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi Ile İncelenmesi”. Fırat Tıp Dergisi 10/1 (Şubat 2005), 18-23.
JAMA Serhatlıoğlu S, Uysal H, Kocaöz Ö, Erol FS, Durukan P, Oğur E. Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi ile İncelenmesi. Fırat Tıp Dergisi. 2005;10:18–23.
MLA Serhatlıoğlu, Selami vd. “Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi Ile İncelenmesi”. Fırat Tıp Dergisi, c. 10, sy. 1, 2005, ss. 18-23.
Vancouver Serhatlıoğlu S, Uysal H, Kocaöz Ö, Erol FS, Durukan P, Oğur E. Minör Kafa Travmalı Hastalarda Serebral Hemodinamik Değişikliklerin Renkli Doppler Ultrasonografi ile İncelenmesi. Fırat Tıp Dergisi. 2005;10(1):18-23.