Transcranial Doppler

Transcranial Doppler (TCD) helps to localize intracranial stenosis or occlusion and to monitor and guide thrombolysis (Combined Lysis of Thrombus in Brain Ischemia with Transcranial Ultrasound and Systemic TPA; CLOTBUST) (71 . TCD is an easy, inexpensive, and noninvasive additional diagnostic option at the bedside, but it is limited by being "operator dependent." Transcranial color sonography, especially with an ultrasound contrast agent, provides better information about intracranial stenosis, occlusion, collaterals, and midline shift in massive hemispheric infarction.

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