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Departments of Neurology of Tufts University (Drs. Caplan and DeWitt), Boston, MA; Yale University (Dr. Brass), New Haven, CT; Medical College of Georgia (Dr. Adams), Augusta, GA; St. Louis University (Dr. Gomez), St. Louis, MO; Scripps Clinic (Dr. Otis), La Jolla, CA; the University of Pittsburgh (Dr. Wechsler) Pittsburgh, PA; and Albert-Ludwigs University (Dr. von Reutern) Freiburg, West Germany.
Summary and critique. Advantages of method. TCD is a noninvasive test effective in monitoring blood velocities in large intracranial arteries. It uses small, potentially portable, relatively inexpensive equipment. The test can be repeated and therefore allows the detection of changes over time and after various physiologic studies or pharmacologie intervention, and during various postural and positional changes. TCD can also be used to monitor changes during surgery or other interventions.
Address correspondence and reprint requests to Dr. Louis R. Caplan, New England Medical Center, Department of Neurology, 750 Washington Street Boston MA 02111.
Received January 22, 1990. Accepted for publication in final form January 22, 1990.
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