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Anatomical validation of middle cerebral artery position as identified by transcranial pulsed Doppler ultrasound

Anatomical validation of middle cerebral artery position as identified by transcranial pulsed Doppler ultrasound
Anatomical validation of middle cerebral artery position as identified by transcranial pulsed Doppler ultrasound

The basal cerebral arteries were insonated using transcranial pulsed Doppler ultrasound (TPDU) at 2 MHz. The Doppler sample volume (SV) depths at which signals were obtained which could be attributed to the middle, anterior and posterior cerebral arteries (MCA, ACA and PCA) were compared with measurements in adult cadavers and with B-scan ultrasound studies in infants. The depth of the internal carotid artery (ICA) terminal division into ACA and MCA was closely correlated for both groups. In adults, it was found at 5-6 ± 10 cm using TPDU while in cadavers it was found at 5 3 ± 05 cm from the temporal bone. In infants, it was found at 3-2 ± 03 cm for the right side, and 3-2 ± 0-2 cm for the left side using TPDU, and at 3-4 ± 04 cm and 3-4 ± O 5 cm for right and left sides respectively using B-scan ultrasound. The mean depth of the MCA mid-point in infants as defined by TPDU and B-scan was also closely correlated, with values of 2-8 ± 03 cm and 2-7 ± 03 cm for right and left sides respectively using TPDU and of 2-8 ± 04 cm and 2-7 ± 04 cm for right and left sides respectively using B-scan ultrasound. Values for the most lateral part of the MCA did not correlate. In adults, signals from the ACA and PCA were obtained at greater SV depth than the MCA, thus preventing confusion.

0022-3050
1025-1029
Gillard, J.H.
02b08d57-78b8-4611-84e4-b5ab14134747
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Levin, S.D.
45779258-c1d5-4c50-b3bb-b71624f2401a
Neville, B.G.R.
f955179d-844d-49cb-8d88-0eb6a1f76d8a
Gosling, R.G.
5a770b77-41fc-43f2-90fa-f56b9eae30f0
Gillard, J.H.
02b08d57-78b8-4611-84e4-b5ab14134747
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Levin, S.D.
45779258-c1d5-4c50-b3bb-b71624f2401a
Neville, B.G.R.
f955179d-844d-49cb-8d88-0eb6a1f76d8a
Gosling, R.G.
5a770b77-41fc-43f2-90fa-f56b9eae30f0

Gillard, J.H., Kirkham, F.J., Levin, S.D., Neville, B.G.R. and Gosling, R.G. (1986) Anatomical validation of middle cerebral artery position as identified by transcranial pulsed Doppler ultrasound. Journal of Neurology, Neurosurgery, and Psychiatry, 49 (9), 1025-1029. (doi:10.1136/jnnp.49.9.1025).

Record type: Article

Abstract

The basal cerebral arteries were insonated using transcranial pulsed Doppler ultrasound (TPDU) at 2 MHz. The Doppler sample volume (SV) depths at which signals were obtained which could be attributed to the middle, anterior and posterior cerebral arteries (MCA, ACA and PCA) were compared with measurements in adult cadavers and with B-scan ultrasound studies in infants. The depth of the internal carotid artery (ICA) terminal division into ACA and MCA was closely correlated for both groups. In adults, it was found at 5-6 ± 10 cm using TPDU while in cadavers it was found at 5 3 ± 05 cm from the temporal bone. In infants, it was found at 3-2 ± 03 cm for the right side, and 3-2 ± 0-2 cm for the left side using TPDU, and at 3-4 ± 04 cm and 3-4 ± O 5 cm for right and left sides respectively using B-scan ultrasound. The mean depth of the MCA mid-point in infants as defined by TPDU and B-scan was also closely correlated, with values of 2-8 ± 03 cm and 2-7 ± 03 cm for right and left sides respectively using TPDU and of 2-8 ± 04 cm and 2-7 ± 04 cm for right and left sides respectively using B-scan ultrasound. Values for the most lateral part of the MCA did not correlate. In adults, signals from the ACA and PCA were obtained at greater SV depth than the MCA, thus preventing confusion.

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Published date: September 1986

Identifiers

Local EPrints ID: 429769
URI: https://eprints.soton.ac.uk/id/eprint/429769
ISSN: 0022-3050
PURE UUID: cf4fab36-fd7c-4b60-88a6-11cc273677c7
ORCID for F.J. Kirkham: ORCID iD orcid.org/0000-0002-2443-7958

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Date deposited: 05 Apr 2019 16:30
Last modified: 13 Jun 2019 00:37

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