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</div><div><span>Transcranial Doppler ultrasound</span></div></div>
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</a><h1 class="with-also" itemprop="name">Transcranial Doppler ultrasound</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Transcranial doppler ultrasound (TCD) is a diagnostic test. It measures blood flow to and within the brain.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>TCD uses sound waves to create images of the blood flow inside the brain.</p><p>This is how the test is performed:</p><ul><li>You lie on your back on a padded table with your head and neck on a pillow. Your neck is stretched slightly. Or you may sit on a chair.</li><li>The technician applies a water-based gel on your temples and eyelids, under your jaw, and at the base of your neck. The gel helps the sound waves get into your tissues.</li><li>A wand, called a transducer, is moved over the area being tested. The wand sends out sound waves. The sound waves go through your body and bounce off the area being studied (in this case, your brain and blood vessels).</li><li>A computer looks at the pattern that the sound waves create when they bounce back. It creates a picture from the sound waves. The Doppler creates a "whooshing" sound, which is the sound of your blood moving through the arteries and veins.</li><li>The test can take 30 minutes to 1 hour to complete.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How to Prepare for the Test</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>No special preparation is needed for this test. You do not need to change into a medical gown.</p><p>Remember to:</p><ul><li>Remove contact lenses before the test if you wear them.</li><li>Keep your eyes closed when gel is applied to your eyelids so you don't get it in your eyes.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test will Feel</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>The gel may feel cold on your skin. You may feel some pressure as the transducer is moved around your head and neck. The pressure should not cause any pain. You may also hear a "whooshing" sound. This is normal.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>The test is done to detect conditions that affect blood flow to the brain:</p><ul><li>Narrowing or blockage of the arteries in the brain</li><li><a test="test" href="./000726.htm">Stroke</a> or <a test="test" href="./000730.htm">transient ischemic attack</a> (TIA)</li><li>Bleeding in the space between the brain and the tissues that cover the brain (<a test="test" href="./000701.htm">subarachnoid hemorrhage</a>)</li><li>Ballooning of a blood vessel in the brain (<a test="test" href="./001414.htm">cerebral aneurysm</a>)</li><li>Change in pressure inside the skull (intracranial pressure)</li><li><a test="test" href="./000527.htm">Sickle cell anemia</a>, to assess stroke risk</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Normal Results</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>A normal report shows normal blood flow to the brain. There is no narrowing or blockage in the blood vessels leading to and within the brain.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What Abnormal Results Mean</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>An abnormal result means an artery may be narrowed or something is changing the blood flow in the arteries of the brain.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Risks</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>There are no risks with having this procedure.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Transcranial Doppler ultrasonography; TCD ultrasonography; TCD; Transcranial Doppler study</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/18059t.jpg" alt="Endarterectomy" title="Endarterectomy" class="side-img"/><a href="../imagepages/18059.htm">Endarterectomy</a></li>
<li><img src="//medlineplus.gov/ency/images/ency/tnails/19430t.jpg" alt="Cerebral aneurysm" title="Cerebral aneurysm" class="side-img"/><a href="../imagepages/19430.htm">Cerebral aneurysm</a></li>
<li><img src="//medlineplus.gov/ency/images/ency/tnails/8968t.jpg" alt="Transient Ischemic attack (TIA)" title="Transient Ischemic attack (TIA)" class="side-img"/><a href="../imagepages/8968.htm">Transient Ischemic attack (TIA)</a></li>
<li><img src="//medlineplus.gov/ency/images/ency/tnails/18006t.jpg" alt="Atherosclerosis of internal carotid artery" title="Atherosclerosis of internal carotid artery" class="side-img"/><a href="../imagepages/18006.htm">Atherosclerosis of internal carotid artery</a></li>
</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Defresne A, Bonhomme V. Multimodal monitoring. In: Prabhakar H, ed. <em>Essentials of Neuroanesthesia.</em> Cambridge, MA: Elsevier Academic Press; 2017:chap 9.</p><p>Ellis JA, Yocum GT, Ornstein E, Joshi S. Cerebral and spinal cord blood flow. In: Cottrell JE, Patel P, eds. <em>Cottrell and Patel's Neuroanesthesia.</em> 6th ed. Philadelphia, PA: Elsevier; 2017:chap 2.</p><p>Matta B, Czosnyka M. Transcranial doppler ultrasonography in anesthesia and neurosurgery. In: Cotrell JE, Patel P, eds. <em>Cottrell and Patel's Neuroanesthesia.</em> 6th ed. Philadelphia, PA: Elsevier; 2017:chap 7.</p><p>Newell DW, Monteith SJ, Alexandrov AV. Diagnostic and therapeutic neurosonology. In: Winn HR, ed. <em>Youmans and Winn Neurological Surgery. </em>8th ed. Philadelphia, PA: Elsevier; 2023:chap 410.</p><p>Sharma D, Prabhakar H. Transcranial Doppler ultrasonography. In: Prabhakar H, ed. <em>Neuromonitoring Techniques.</em> Cambridge, MA: Elsevier Academic Press; 2018:chap 5.</p></div></div></section>
<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 4/29/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School of Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. </p>
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