M. Mijajlovic
Neurology Clinic, Clinical Center of Serbia and School of Medicine University of Belgrade – Belgrade, Serbia

Transcranial Doppler (TCD) is a relatively new, non-invasive tool, allowing for bedside monitoring to determine flow velocities indicative of changes in vascular caliber.
It has been frequently employed for the clinical evaluation of cerebral vasospasm following subarachnoid hemorrhage (SAH). To a lesser degree, TCD has also been used to evaluate cerebral autoregulatory capacity, monitor cerebral circulation during cardiopulmonary bypass and carotid endarterectomy, to diagnose brain death and for monitoring of cerebral hemodynamics in neurotrauma.
TCD is a suitable bedside method for daily assessment of the changes of intracranial pressure (ICP) by continuous monitoring of the changes of blood flow velocities and pulsatility index (PI), reflecting decreases in cerebral perfusion pressure due to increases in ICP.
Growing body of literature demonstrates the usefulness of transbulbar B-mode sonography of the optic nerve for detecting increased ICP in patients requiring neurocritical care.

C. Vidinova, L. Voinov
Clinic of Ophthalmology, Military Medical Academy – Sofia, Bulgaria

Objective: Papilloedema is a difficult dillema to solve due to the different possible causes. The objective of our study is to present a difficult case of unilateral papilloedema.

Material and Methods: We used complete ophtalmologic examination including Visual acuity, perimetry, fluorecein angiography, OCT, ultrasonography and MR in trying to solve a difficult case.

M. Mijajlovic
Neurology Clinic, Clinical Center of Serbia and School of Medicine University of Belgrade – Belgrade, Serbia

The use of transcranial Doppler (TCD) is well established in the evaluation of many neurovascular conditions; however its use in cerebral vasculitis is less well documented.

Ultrasound has the highest resolution among the imaging techniques that are in use for the diagnosis of vasculitis. High-frequency probes provide an axial and a lateral resolution of 0.1 mm. Ultrasound depicts well the artery wall and provides information about blood flow characteristics.