Consensus document on neurosonological techniques in headaches

Cervical color duplex is considered a screening technique in patients with a high clinical suspicion of arterial dissection and may also be indicated for follow-up. Transcranial Doppler is a useful technique for evaluating the presence of vasospasm based on changes in mean flow velocity, and resistance and pulsatility indexes. Identification of the "halo sign" is highly specific for temporal arteritis. Measurement of the optic nerve sheath allows evaluation of the presence of intracranial hypertension. Finally, neurosonology may assist in occipital infiltration procedures or lumbar puncture and enables identification of changes in structures involved in the pathophysiology of migraine such as the periaqueductal gray matter and the raphe nuclei.

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Publication Details

Journal
Neurología (English Edition)
Published
2025-06-21
DOI
https://doi.org/10.1016/j.nrleng.2025.06.005
Primary Topic
Migraine and Headache Studies
Type
article
Field-Weighted Citation Impact
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article

Consensus document on neurosonological techniques in headaches

Patricia Martínez‐Sánchez, Raúl Nieto Calleja, Laura Dorado, Pablo Irimia et al.
Neurología (English Edition)
Migraine and Headache Studies
article

Consensus document on neurosonological techniques in headaches

Patricia Martínez‐Sánchez, Raúl Nieto Calleja, Laura Dorado, Pablo Irimia, C. García-Cabo Fernández, J. Rodríguez Vico, Rafael Domínguez Martín, Antonio Sánchez, J.A. Membrilla López, F.J. Julián Villaverde, J. García Ull, Javier Fernández, N. González García
article en

Abstract

Cervical color duplex is considered a screening technique in patients with a high clinical suspicion of arterial dissection and may also be indicated for follow-up. Transcranial Doppler is a useful technique for evaluating the presence of vasospasm based on changes in mean flow velocity, and resistance and pulsatility indexes. Identification of the "halo sign" is highly specific for temporal arteritis. Measurement of the optic nerve sheath allows evaluation of the presence of intracranial hypertension. Finally, neurosonology may assist in occipital infiltration procedures or lumbar puncture and enables identification of changes in structures involved in the pathophysiology of migraine such as the periaqueductal gray matter and the raphe nuclei.

Neurología (English Edition)Vol. 40(6)
Hospital Universitario La Paz (ES), Hospital de Sant Pau (ES), Hospital Clínico San Carlos (ES), Hospital Clínico Universitario de Valencia (ES), Hospital Universitario Fundación Jiménez Díaz (ES), Hospital Universitario Central de Asturias (ES), Clinica Universidad de Navarra (ES), Hospital San Pedro (ES), Complejo Hospitalario Torrecárdenas (ES), Hospital Universitari Germans Trias i Pujol (ES), Complejo Hospitalario Universitario de Albacete (ES), Universidad de Navarra (ES)
Openalex Percentile: Top 82%
Migraine and Headache Studies
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