Transcranial Doppler ultrasound following closed head injury: vasospasm or vasoparalysis?

Nine patients suffering closed head injury were studied using transcranial Doppler ultrasound recording of the basal cerebral arteries. On admission, six patients had Glasgow Coma Scores of 7 or less, while three had initial scores of 8-10. Eight of the nine patients (82%) developed abnormally high mean velocities (greater than or equal to 110 cm/s) in one or more vessels. The onset, duration, and amplitude of the altered flow velocities were somewhat different from those that are seen with vasospasm after aneurysmal subarachnoid hemorrhage, which tend to occur later. Cerebral angiography in one of the study patients confirmed the presence of vasospasm. Multivariate regression analysis showed a definite correlation between the velocities recorded, even when abnormally elevated, and concurrent pH and PCO2 measurements (p = 0.01, R2 = 0.23). Although these results suggest that the cerebral vasculature retains its vasoreactivity following head injury, arguing against vasoparalysis, inconsistencies found in some of the patients lead us to think that both vasospasm and vasoparalysis may occur following head trauma but that they may have different temporal profiles.