Summary
Serieal transcranial doppler studies were carried out in 12 patients, who developed meningitis during their hospital stay. Blood flow velocities in large basal vessels of the anterior circle of Willis were correlated with CSF pleocytosis and CSF sugar values. Mean blood flow velocities were found to be directly proportional to the CSF white blood cell (WBC) count and were inversely proportional to the CSF sugar values.
Blood flow velocities were higher when CSF WBC count was raised. With only one exception these velocities decreased progressively with a fall in the CSF WBC count. At the time of meningitis there occurred a reduction in CSF sugar values and the blood flow velocities were significantly higher. With increase in CSF sugar values there occurred a gradual fall in the blood flow velocities.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Aaslid R,et al (1984) Evaluation of cerebrovascular spasm with transcranial Doppler ultrasound. J Neurosurg 60: 37–41
Davis DO, Tavera JM: Radiological aspect of inflammatory conditions affecting central nervous system. In: Mosberg WH Jr (ed) Clinical neurosurgery, vol 14. Williams and Wilkins, Baltimore, pp 192–210
Davis DO, Dilenge D (1970) Arterial dilation in purulent meningitis — a case report. J Neurosurg 32: 112–115
Dewitt LD, Lawrence RW (1988) Transcranial Doppler. Stroke 19: 915–921
Dodge P, Swartz M (1965) Bacterial meningitis. A review of selected aspects. NEJM 272: 1003–1033
Erris EJ, Rudikoff JC, Shapiro JH (1968) Cerebral angiography of bacterial infection. Radiology 90: 727–734
Gilsbach Jet al (1987) Cerebral vascular spasm in aneurysm, surgery and its clinical significance. Progr Clin Neuro Sci 1: 125–133
Greitz T (1964) Angiography in tuberculous meningitis. Acta Radiol 2: 369–378
Harders A (1986) Neurosurgical application of transcranial doppler sonography. Springer. Wien New York, pp 111–114
James AD Jr, Hodges PJ, Jordan CE, Mathews EH (1972) Angiography and cisternography in acute meningitis due to Hemophillus influenzae. Radiology 103: 601–606
Kirkham FJ,et al (1988) Transcranial measurement of blood velocities in the basal cerebral arteries using pulsed Doppler ultrasound: velocity as an index of flow. Ultrasound Med Biol 12: 15–21
Leads NE, Goldberg HI (1971) Angiographie manifestations in cerebral inflammatory disease. Radiology 98: 595–604
Lehrer H (1966) Angiographic triad in tuberculous meningitis. Radiology 87: 829–835
Lyons EL, Leeds NE (1967) Angiographie demonstration of arterial vascular diseases in purulent meningitis. Radiology 88: 935–938
Lindegaard PK, Bakke Soren J, Aaslid R (1986) Doppler diagnosis of intracranial artery occlusive disorder. Neurol Neurosurg Psychiat 49: 510–518
Methew HT, Abraham J, Chandy J (1970) Cerebral angiographic features in tuberculous meningitis. Neurology 20: 1015–1023
Misra PK, Agrawal MP, Sharma NL, Chhabra DK, Dave VS (1973) Cerebral angiography in tuberculous meningitis. Ind Paediatr 10: 613–618
Wadia NH, Singhal BS (1967) Cerebral angiography in tuberculous meningitis. Neurology (India) 15: 127–132
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gupta, R., Mahapatra, A.K. & Bhatia, R. Serial transcranial doppler study in meningitis. Acta neurochir 137, 74–77 (1995). https://doi.org/10.1007/BF02188785
Issue Date:
DOI: https://doi.org/10.1007/BF02188785