SIGNIFICANCE OF TRANSCRANIAL DOPPLER ULTRASONOGRAPHY IN THE DIFFERENTIATED TREATMENT OF TRAUMATIC INTRACRANIAL HEMATOMAS DURING THE ACUTE PHASE OF TRAUMATIC BRAIN INJURY
Keywords:
ultrasonic transcranial Doppler sonography, intracranial hematoma, treatment strategy, outcomeAbstract
Ultrasonic transcranial Doppler sonography is essential in diagnostics for the dynamic monitoring of cerebral blood flow and the detection of vasospasm in traumatic intracranial hematomas following head injuries. According to our data, the criteria for unfavorable outcomes included the development of angiospasm followed by ischemia. Another sign of impaired cerebral circulation in traumatic brain injury (TBI) was increased blood supply to brain tissue at the hemispheric and regional levels, which resulted in elevated intracranial pressure due to the increased brain volume from swelling. Based on the above, the study of cerebral circulation in traumatic intracranial hematomas highlights the significant impact of prolonged vasospasm and the development of ischemic processes on outcomes, which lead to increased intracranial pressure. Therefore, ultrasonic transcranial Doppler sonography plays a considerable diagnostic role in identifying angiospasm.
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