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The Journal of Internal Korean Medicine > Volume 21(5); 2000 > Article
The Journal of Internal Korean Medicine 2000;21(5): 805-811.
Transcranial Doppler 를 이용한 급성기뇌경색이 추골기저동맥계 혈관의 혈류속도에 미치는 영향
김윤식, 안택원
The Transcranial Doppler(TCD) Assesment of Vertebrobasal Vascular Blood Flow in Cerebral Infarction
Yoon-Sik Kim, Teck-Won Ahn
1Department of Oriental Internal Medicine, College of Oriental Medicine, Daejeon University
2Department of Constitutional Medicine, College of Oriental Medicine, Daejeon University
Correspondence  Yoon-Sik Kim ,
  Published online: December 30, 2000.
ABSTRACT
Objectives:
To determine the effects on blood flow of vertebrobasal vascular system in cerebral infarction.

Methods :
We altered 33 normal patients and 12 patients who were diagnosed cerebral infarction on Rt. middle cerebral artery(MCA) region and 8 patients who were diagnosed cerebral infarction on Lt. MCA region, and measured the mean velocity, systolic to diastolic rate(SD rate), asymmetrical index(A/I) by TCD.

Results:
The mean velocity of posterior cerebral artery(PCA), vertebral artery was increased in same direction as infarcted site and the mean velocity of basal artery was more increased than control, and the SD rate of PCA, vertebral artery, basal artery was larger than control. The A/I of PCA, vertebral artery was revealed that mean velocity of vertebrobasal vascular system is increase the same direction as infarcted area.

Conclusion:
TCD examination within 7 days(acute stage) after stroke can help to predict the infarcted direction.
Key words: Trascranial doppler(TCD), Cerebral infarction, vertebrobasal vessels, mean velocity
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