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Transcranial Doppler ultrasonography in pre-hospital management of stroke: can make a difference?


Antonio Siniscalchi *, Giovanni Malferrari, Piergiorgio Lochner and Sandro Sanguigni  


The aim of this paper is to discuss the use of transcranial doppler in the pre-hospital management of stroke. In the pre-hospital organization, neurological defect scales are used, but they are often indicative the occlusions of anterior circulation and not of posterior circulation. Patients with posterior circulation stroke are sometimes not diagnosed and clinically treated. In the pre-hospital phase, the transcranial doppler may identify an occlusion of the large cerebral vessels and be useful for stroke patients, in particular those with posterior occlusions, for a more precise diagnosis and consequently for adequate treatment in the excellence centers for stroke.


acute ischemic stroke, large cerebral vessels, anterior circulation, posterior circulation, transcranial Doppler, transcranial duplex with color code


Department of Neurology and Stroke Unit, Annunziata Hospital of Cosenza, Cosenza, Stroke Unit, Neurology Unit, Azienda Unità Sanitaria Locale - IRCCS, Reggio Emilia, Department of Neurology, Saarland University Medical Center, Homburg, Department of Neurology, Madonna del Soccorso Hospital, S Benedetto del Tronto

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