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Transcranial Doppler (TCD) is a qualitative and noninvasive method of estimating cerebral hemodynamics. It is a constituent of a clinical and diagnostic complex, used in practically all neurosurgical and neurological clinics of the world for diagnosis of circulation disorders at different stages of treatment of neurosurgical cases.
The monograph presents the results of long-term research, obtained during examination of several thousands of cases with different neurosurgical pathology. Its authors were among pioneers of home research in this field and, thus, made much for formation of ideas, concerning potentialities of the above method in estimation of cerebral circulation in neurosurgical cases. The authors describe achievements, based not only on their own results but also on data, reported by world-famous scientists in this field.
The monograph is the first important scientific work in Russia, devoted to transcranial Doppler and its use for diagnosis of cerebral circulation disorders, perioperative monitoring, prognostication of intra- and postoperative complications. Normal indices and TCD patterns, characteristic of different age groups and assessed on the basis of personal experience, are given. Neurosurgical pathology, causing different changes of blood flow in cerebral vessels, is characterized.
Great attention is paid to mechanisms, responsible for regulation of cerebral circulation. Problems of methodology, systemic analysis and mechanisms of regulation of cerebral blood flow are discussed. Methods of estimation of this regulation with applying transcranial Doppler, as well as their potentialities, limitations and drawbacks, are considered in detail.
The book contains profound information on principles and methods of examination. The most spread diagnostic versions, typical of different pathology of cerebral vessels, are described accurately and provided with remarkable illustrations. The authors demonstrate diagnostic potentialities of the method and dwell on versions of main pathologic states, watched in neurosurgical diseases.
Up-to-date methods for analysis of data, obtained in long-term perioperative TCD-monitoring, are considered. The authors describe potentialities of intraoperative monitoring, carried out in such interventions, as microsurgical operations for aneurysms and arteriovenous malformations, creation of extra-intracranial microanastomosis, carotid endarterectomy, endovascular operations for arteriovenous malformations and aneurysms, angioplasty with stenting.
Diagnostic criteria of intracranial hypertension, cerebral angiopathy and terminal states, based on analysis of postoperative TCD-monitoring, are given. Possibility of applying TCD for diagnosis of brain death is discussed.
The book has a good design and is undoubtedly important. It will be useful for neurosurgeons, neurologists, experts in functional diagnosis, pathophysiologists and specialists in adjacent fields, working in neurosurgical clinics.