Neurologische Ultraschalldiagnostik – ein Update

Das Ausbildungscurriculum der neurologischen Ultraschalldiagnostik beinhaltet nicht nur die fächerübergreifenden Ausbildungsinhalte im Anwendungsbereich der extra- und intrakraniellen hirnzuführenden Arterien, sondern umfasst zusätzlich die erweiterte Diagnostik intrakranieller Gefäße mittels transkranieller Duplexsonografie, die Untersuchung der Hirnvenen, die funktionelle transkranielle Doppler-Sonografie inklusive Monitoringverfahren sowie die Hirnparenchym- und Orbitasonografie.

Abstract

The diagnostic use of ultrasonography in the field of neurology comprises not only the investigation for a stenosis or occlusion of the brain-supplying arteries but also includes a comprehensive examination of intracranial vessels using transcranial color-coded sonography, assessment of brain parenchyma or the optic nerve sheath diameter using B-mode ultrasonography, and monitoring for microembolic signals and testing for a disturbed cerebral autoregulation or a right-to-left shunt via a patent foramen ovale using transcranial Doppler sonography. This paper provides an update on recent developments in neurosonology and compiles the state-of-the-art knowledge required for certification by relevant national societies in charge for continuing education in ultrasonography.

Schlüsselwörte

Duplexsonografie - Karotisstenose - intrakranielle Gefäßstenosen - funktionelle Doppler-Sonografie - Orbitasonografie

Key words

duplex ultrasonography - carotid artery stenosis - intracranial artery stenosis - functional Doppler sonography - orbital sonography

Publication History

Article published online:
07 December 2023

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