대한한의학회지 (The Journal of Korean Medicine)

  • 제17권1호
  • /
  • Pages.171-189
  • /
  • 1996
  • /
  • 1010-0695(pISSN)
  • /
  • 2288-3339(eISSN)
대한한의학회 (The Society of Korean Medicine)
권호 표지

뇌졸중의 진단에 대한 TCD의 활용 (Brain CT, Brain MRI와 Transcranial Doppler Ultrasonography 비교를 통한 뇌졸중 진단의 상호 보완에 관한 연구)

Transcranial Doppler Ultrasonography(TCD) in diagnosis of Cerebrovascular Accident (CVA)

  • 박세기 (경원대학교 한의과대학 심계내과학교실) ;
  • 강명석 (경원대학교 한의과대학 심계내과학교실) ;
  • 전찬용 (경원대학교 한의과대학 심계내과학교실) ;
  • 박종형 (경원대학교 한의과대학 심계내과학교실)
  • Park, Se-Gi (Dept. of Internal Medicine, College of Oriental Medicine, Kyung-Won University) ;
  • Kang, Myeong-Seog (Dept. of Internal Medicine, College of Oriental Medicine, Kyung-Won University) ;
  • Jun, Chan-Yong (Dept. of Internal Medicine, College of Oriental Medicine, Kyung-Won University) ;
  • Park, Chong-Hyeong (Dept. of Internal Medicine, College of Oriental Medicine, Kyung-Won University)
  • 발행 : 1996.04.30
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초록

Background and Purpose: The greater part of patients to visit Hospital of Oriental Medicine suffer from cerebrovascular accident(CVA). There is transcranial Doppler(TCD) in the diagnostic method to confirm cerebrovascular accident(CVA). Transcranial Doppler(TCD) is an accurate method of monitoring the blood flow velocities of the cerebral vessels and have been generally used to prevent symptomatic vasospasm and confirm cerebral infarction. So we studied, in the crebrovascular accident(CVA), to estimate whether transcranial Doppler(TCD) is useful to. Methods: Using transcranial doppler(Multigon Model 500M Transcranial Doppler System), we measured the mean and peak velocity and the direction of blood flow in 10 cerebrovascular accident(CVA)'s subjects who had been examined by Computed Tomography(CT) or Magnetic Resonance Imaging (MRI). Results : As an anticipation, in cerebrovascular accident(CVA)'s subject with Cb-infarction, the mean and peak velocity of blood flow fell down remarkably and the direction of blood flow was change or irritable. But didn't find out any signal in lacunar infarction. Also, in case with spontaneous hemorrhage, the velocity and direction of blood flow was change but this signal was short of diagnosis for Cb-hemorrhage. Besides, we found signals about embolism, stenosis, thrombosis and occlusion in cerebrovascular accident(CVA)'s subjects. Conclusion: In Cb-infarction, the result of TCD was equal to diagnosis with Computed Tomography(CT) or Magnetic Resonance Imaging (MRI). But about lacunar infarction or spontaneous hemorrhage, signals of TCD couldn't be found out or was insufficient more than Computed Tomography(CT) or Magnetic Resonance Imaging(MRI). In cerebrovascular accident(CVA)'s subject with embolism, stenosis, thrombosis or occlusion, signals of TCD were found out more than Computed Tomography(CT) or Magnetic Resonance Imaging(MRI). Therefore transcranial doppler(TCD) is necessary method which makes a diagnosis of cerebrovascular accident(CVA), with Computed Tomography(CT) or Magnetic Resonance Imaging(MRI).

키워드

참고문헌

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