Evaluation on the application of transcranial Doppler (TCD) and electroencephalography (EEG) in patients with vertebroba

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(2020) 15:470

RESEARCH ARTICLE

Open Access

Evaluation on the application of transcranial Doppler (TCD) and electroencephalography (EEG) in patients with vertebrobasilar insufficiency Changmin Ke1†, Chu-na Zheng2†, Juan Wang3, Dongying Yao4, Xiaojuan Fang5, Yan Luo1, Jianglin Wu6, Xiaoqing Zheng7* and Peiping Wang3*

Abstract Background: To evaluate the diagnostic value of transcranial Doppler (TCD) and electroencephalography (EEG) in patients with vertebrobasilar insufficiency (VBI) during clinical diagnosis and treatment Methods: Eighty patients diagnosed with VBI in our hospital from June 2018 to December 2019 were randomly selected as the observation group, and 80 healthy people who received physical examination in the same period were selected as the control group. The abnormal rate, main performance and results, and the peak velocity of blood flow and vertebrobasilar artery blood flow of the two groups were compared. Results: The abnormal rate of EEG and TCD in VBI patients was 38.75% (31/80) and the 93.75% (75/80), respectively. In TCD examination, ACA, PCA, MCA, and VA of both sides of the observation group were higher than those of the control group, while BA was lower than that of the control group (P < 0.05). The Vs, Vd, and Vm on both sides of BA and VA in the observation group were lower than those in the control group, while PI and RI were higher than those in the control group (P < 0.05). Conclusions: TCD examination is highly sensitive to the degree and pattern of cerebral ischemia in VBI patients. EEG examination will define the changes of brain cell function after cerebral ischemia. Therefore, EEG and TCD have their own advantages. The application of TCD and EEG can be considered in the early diagnosis, curative effect, and prognosis evaluation of VBI patients, so as to improve the accuracy of diagnosis and prognosis. Keywords: Vertebrobasilar insufficiency, Clinical diagnosis, Cranial Doppler examination, Electroencephalogram examination

* Correspondence: [email protected]; [email protected] † Changmin Ke and Chu-na Zheng are both the co-first author of this manuscript. 7 Department of Urinary Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, No.52, Meihua East Road, Xiangzhou District, Zhuhai City 519000, Guangdong Province, China 3 Department of Health Management Centre, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai city 519000, Guangdong Province, China Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the m