Abstract
Objective.Elaboration of a way for sinus cavernous diagnostics.
Material and methods. 158 patients aged from 2 to 16 years old with headaches, nasal bleedings and dizziness have been examined by transcranial Doppler (TCD) ,“Spectromed” and “BIOSS“ companies of Russia and transcranial color-coded duplex ultrasonography (TCCD) on “Logiq P5”. Evident disturbances of cerebral hemodynamics (blood outflow velocity) in straight sinus, great cerebral vein of Galen, cavernous sinus, vertebral and basilar veins were observed. Classic transorbital access for location of sinus cavernous and ophthalmic veins is rarely used for children. We proposed an original access for location of sinus cavernous. This approach provides perfect determination of a form and peculiarities of its hemodynamics disturbances. The obtained data confirms the role of sinus cavernous as a marker of the cerebral hemodynamic disturbances in deep brain veins in pathogenesis of cerebrovascular pathology. The therapy has been elaborated in accordance with TCD and TCCD data. Positive effects were noticed at 85% of children.
Results. We proposed an original access for location of sinus cavernous. This approach provides perfect determination of a form and peculiarities of its hemodynamics disturbances. The therapy has been elaborated in accordance with TCD and TCCD data. Positive effects were noticed at 85% of children.
Conclusion. The new access provides a possibility to reveal arterial and venous cerebral disturbances (func tional, structural) and to determine the tactics of advising patients (i.e. diagnosis and therapy) also.
References
1. Dussik K.T. On the possibility of using ultrasound waves as a diagnostic aid. Neurol. Psychiat. 1942; 174: 153–68.
2. Aaslid R., Markwalder T.M., Nornes H. Non-invasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J.
Neurosurg. 1982; 57: 769–74.
3. Bartels E. Color coded duplex ultrasonography of the cerebral vessels. Atlas and manual. Stuttgart: Schattauer; 1999.
4. Никитин Ю.М., Труханов А.И. Ультразвуковая допплеровская диагностика в клинике. М.: МИК; 2004.
5. Sloan M.A., Alexandrov A.V., Charles D.H., Tegeler H., Spencer M.P. et al. Transcranial Doppler ultrasonography. Neurology. 2004; 62 (9):
1468–81.
6. Cure J.K., Van Tassel P., Smith M.T. Normal and variant anatomy of the dural venous sinuses. Semin. Ultrasound CT, MR. 1994; 15 (6):
499–519.
7. Valdueza J.M., Schultz M., Haijms L. Venous transcranial Doppler ultrasound monitoring in acute dural sinus thrombosis. Stroke. 1995; 26
(7): 1196–9.
8. Baumgartner R.W., Nirkko A.C., Müri R.M., Gönner F. Transoccipital power-based color-coded duplex sonography of cerebral sinuses and
veins. Stroke. 1997; 28: 1319–23.
9. Свистов Д.В. Патология синусов и вен твердой мозговой оболочки. Неронева. 2001; 1: 5–11.
10. Бердичевский М.Я. Венозная дисциркуляторная патология головного мозга. М.: Медицина; 1989: 223.
11. Бокерия Л.А., Бузиашвили Ю.И., Шумилина М.В. Нарушения церебрального венозного кровообращения у больных с сердечно-
сосудистой патологией. М.: НЦССХ им. А.Н. Бакулева РАМН. 2003: 162.
12. Шумилина М.В., Горбунова Е.В. Комплексная ультразвуковая диагностика нарушений венозного оттока. Клиническая
физиология кровообращения. 2009; 3: 21–9.
13. Семенов С.Е., Абалмасов В.Г. Диагностика нарушений церебрального венозного кровообращения с применением магнитно-
резонансной венографии. Журнал неврологии и психиатрии им. С.С. Корсакова. 2000; 10: 44–50.
