TITLE:
Transcranial Doppler Ultrasonography to Prevent Cerebrovascular Accident in Children with Sickle-Cell Disease
AUTHORS:
Giuliana Carpentieri-Pipolo, Marcelo de Lima Oliveira, Fernando Mendes Paschoal Junior, Edson Bor-Seng-Shu
KEYWORDS:
Transcranial Doppler, Sickle Cell Disease, Stroke in Children, Cerebrovascular Disease
JOURNAL NAME:
Neuroscience and Medicine,
Vol.10 No.2,
June
10,
2019
ABSTRACT: Sickle-cell disease (SCD) is the most common cause of ischemic stroke in children and it happens in about 11% of patients between the age of 2 and 20 years old. About 7% of the world population is affected by hemoglobin disorders, mostly sickle cell anemia. SCD has a high prevalence in the population of African offspring and it is a public health problem in Brazil that affects more than 30,000 million people. Prevention of primary stroke might be feasible with a way to identify children at greatest risk. Transcranial Doppler Ultrasonography (TCD) to SCD patients can be a valuable service that results in a significant decrease of first stroke rates. In this work, we present a review about TCD as an effective strategy to detect children with SCD who are at risk for stroke.