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TCD findings in various traumatic brain injury induced pathophysiologies Conditions Encountered in Head Injury Vasospasm Hyperemia Intracranial arterial occlusion Carotid-cavernous fistula Increased distal vascular resistance Vasoconstriction due to hyperventilation or low cerebral metabolism High ICP Cerebral circulatory arrest TCD Correlate Increased velocities, VMCAVICA is greater than or equal to 3 Increased velocities, VMCAVICA is less than 3 Absent or markedly reduced velocity in arterial trunk Increased velocity in extracranial carotid artery ipsilateral fistula Increased velocity in carotid siphon with marked turbulence Increased pulsatility Increased pulsatility, decreased diastolic velocity Increased pulsatility, decreased diastolic velocity Increased pulsatility, absent or reversed diastolic velocity, reverberating pattern, small systolic peaks, absent signals Adapted from: Newell DW, Aaslid R.Aghdasi, B.
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