Transcranial Doppler Ultrasound Use in Pediatric Traumatic Brain Injury.


Journal Article

Transcranial Doppler ultrasound (TCD) is an inexpensive portable diagnostic tool commonly available within most healthcare systems. A team of trained individuals perform and interpret the test to inform patient care management. The benefit of TCD is well established in adult patients with traumatic brain injury. However, in children with TBI, it is still considered exploratory and its use is not a part of the standard of care. This article describes what TCD is, its use in children, and how TCD measurements apply to children and adolescents in an effort to establish criteria for the use of TCD for children with TBI. The benefit of TCD in pediatric TBI is illustrated by 2 cases of children who participated in a TBI research study. Early indications are that the use of TCD in pediatric cases of TBI may produce unexpected real-time data about the cerebral vasculature and circulation characteristics in children with TBI. Transcranial Doppler ultrasound has the potential for playing an informative diagnostic role in future pediatric TBI management. Ultimately the goal to promote best outcomes after a TBI requires insights into the multi-dynamic nature of the injury and TCD has the ability to support these efforts.

Full Text

Duke Authors

Cited Authors

  • Reuter-Rice, K

Published Date

  • March 2017

Published In

Volume / Issue

  • 36 / 1

Start / End Page

  • 3 - 9

PubMed ID

  • 28947894

Pubmed Central ID

  • 28947894

Electronic International Standard Serial Number (EISSN)

  • 1555-9912

International Standard Serial Number (ISSN)

  • 1546-0843

Digital Object Identifier (DOI)

  • 10.1016/j.jradnu.2016.11.003


  • eng