Transcranial Doppler as a useful tool in the detection of cervical steno-occlusive arteriopathy in infants - 18/10/19

Doi : 10.1016/j.arcped.2019.09.007

A. Basso ^a, A. Desrumaux ^a, E. Lametery ^b, P. Bouzat ^c,^d, G. Mortamet ^a,^d,⁎
^a Pediatric Intensive care Unit, Grenoble Alpes University Hospital, Hôpital Albert Michallon, CS 10217, 38043 Grenoble, France
^b Pediatric Department, Grenoble Alpes University Hospital, Hôpital Albert Michallon, CS 10217, 38043 Grenoble, France
^c Department of Anaesthesiology and Critical Care, Grenoble Alpes University Hospital, Hôpital Albert Michallon, CS 10217, 38043 Grenoble, France
^d Grenoble Alps University, 38000 Grenoble, France

^⁎Corresponding author at: Pediatric Intensive Care Unit, Grenoble Alpes University Hospital, Grenoble, 38000, France.Pediatric Intensive Care Unit, Grenoble Alpes University HospitalGrenoble38000France

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Abstract

Objective

The early detection of cervical steno-occlusive arteriopathy is essential to rapidly initiate appropriate treatment and to potentially improve neurological outcome. To accurately confirm the diagnosis, cerebral imaging is the gold standard, but it cannot be performed if the patient is unstable or if the facility is unavailable.

Cases

Here we report our experience of using transcranial Doppler (TCD) ultrasound as a readily available, easy-to-use bedside tool to guide the rapid screening and management of cervical steno-occlusive arteriopathy in infants.