European Journal of Ultrasound
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European Journal of Ultrasound 1-2021

Differentiation Between Ischemic and Hemorrhagic Strokes – A Pilot Study with Transtemporal Investigation of Brain Parenchyma Elasticity Using Ultrasound ShearWave Elastography

Michael Ertl, Margarethe Woeckel, Christoph Maurer
 
Ultrasound shear wave elastography is well established in diagnostics of several parenchymatous organs and is recommended by respective guidelines. So far, research about applications in relevant neurological conditions is missing, especially in adults. Here we aimed to examine the method for the differentiation of ischemic (IS) and hemorrhagic strokes (HS) and cerebral mass effects.

Effects of Antenatal Betamethasone on Fetal Doppler Indices and Short Term Fetal Heart Rate Variation in Early Growth Restricted Fetuses

Nicola Fratelli et al.

Post hoc analysis of data derived from the TRUFFLE study, a prospective, multicenter, randomized management trial of severe early onset FGR. Repeat Doppler and CTG-STV measurements between the last recording within 48 hours before the first dose of betamethasone (baseline value) and for 10 days after were evaluated. Multilevel analysis was performed to analyze the longitudinal course of the umbilico-cerebral ratio (UC ratio), the ductus venosus pulsatility index (DVPIV) and CTG-STV.

From outer space to earth: Ultrasonographic dynamic pupillometry for autonomic testing and neuro-critical care

Uwe Walter

The assessment of pupil diameter as well as its response to light (pupillary light reflex) and to cutaneous painful stimuli (ciliospinal reflex) is a clinical standard in the evaluation of basic functions of the brainstem, cranial nerves, and the autonomic nervous system. In patients with traumatic brain injury or hypoxic ischemic encephalopathy, testing for the presence versus absence of pupillary reflexes is of high prognostic value already in the first hours after injury. Classically, pupillary responses to stimuli are assessed visually by the responsible physician or nurse.