Non-invasive intracranial pressure monitoring with transcranial Doppler in a patient with progressive cerebral venous sinus thrombosis

J Neuroimaging. 2014 May-Jun;24(3):302-4. doi: 10.1111/j.1552-6569.2012.00745.x. Epub 2012 Dec 10.

Abstract

In many intracranial disease states, monitoring of intracranial pressure (ICP) is essential to evaluate response to the therapeutic measures as well as estimation of prognosis. Although, direct estimation of ICP is reliable, it is invasive and not possible in all patients. Transcranial Doppler (TCD) ultrasonography is a bedside and noninvasive technique that provides reliable and real-time information about cerebral hemodynamics. We present a case of extensive and progressive cerebral venous sinus thrombosis in which TCD served as an excellent tool for monitoring ICP and the serial observations correlated closely with clinical status and ophthalmological findings.

Keywords: Venous sinus thrombosis; intracranial pressure; transcranial Doppler.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Intracranial Hypertension / diagnostic imaging*
  • Intracranial Hypertension / etiology
  • Intracranial Hypertension / physiopathology*
  • Intracranial Pressure*
  • Male
  • Manometry / methods*
  • Middle Aged
  • Sinus Thrombosis, Intracranial / complications
  • Sinus Thrombosis, Intracranial / diagnostic imaging*
  • Sinus Thrombosis, Intracranial / physiopathology*
  • Ultrasonography, Doppler, Transcranial / methods*