Transcranial Doppler validation of hemodynamic vertebrobasilar insufficiency diagnosis.
Transcranial Doppler (TCD) can be useful in the diagnosis and validation of surgical treatment of vertebrobasilar insufficiency (VBI). A case is reported in which TCD confirmed the diagnosis of vertebrobasilar insufficiency and validated the indication of surgery by detecting a bidirectional flow in a stenotic and compressed vertebral artery. In the postoperative period and at late follow-up TCD demonstrated a restored antegrade flow, as a consequence of a well functioning revascularization. Surgical indication of VBI is rare and TCD can be proposed as part of routine patients' study before a surgical decision is taken.
Illuminati
G
G
FOurth Department of Surgery, University La Sapienza, Rome, Italy.
Caliò
F G
FG
Bertagni
A
A
Vietri
F
F
Martinelli
V
V
D000368:Aged; D006801:Humans; D008297:Male; D017585:Ultrasonography, Doppler, Transcranial; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging* / Q000601:surgery