- Cerebrovascular and Carotid Artery Diseases
- Intracranial Aneurysms: Treatment and Complications
- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Ultrasound and Hyperthermia Applications
- Ultrasound in Clinical Applications
- Vascular Malformations Diagnosis and Treatment
- Cerebral Venous Sinus Thrombosis
- Photoacoustic and Ultrasonic Imaging
- Cerebrospinal fluid and hydrocephalus
- Cardiovascular Health and Disease Prevention
- Ultrasound Imaging and Elastography
- Epilepsy research and treatment
- Cytomegalovirus and herpesvirus research
- Migraine and Headache Studies
- Neurosurgical Procedures and Complications
- Spinal Fractures and Fixation Techniques
- Head and Neck Anomalies
- Retinal and Optic Conditions
- Infectious Encephalopathies and Encephalitis
- Polyoxometalates: Synthesis and Applications
- Body Contouring and Surgery
- Vascular Anomalies and Treatments
- Pneumocystis jirovecii pneumonia detection and treatment
- Fetal and Pediatric Neurological Disorders
Vilnius University
2007-2025
Saarland University
2025
The University of Texas Medical Branch at Galveston
2024
Hospital of Lithuanian University of Health Sciences Kaunas Clinics
2021
Lietuvos Bioetikos Komitetas
2016-2019
Vilnius University Hospital Santariskiu Klinikos
2002-2018
University of Regensburg
2007
To standardize optic nerve sheath diameter (ONSD) point-of-care ultrasonography (POCUS) and improve its research clinical utility by developing the ONSD POCUS Quality Criteria Checklist (ONSD QCC).
Abstract In the last decade, ultrasound examination in neurology has been undergoing a significant expansion of its modalities. parallel, there is an increasing demand for rapid and high-quality diagnostics various acute diseases prehospital setting, emergency room, intensive care unit, during surgical or interventional procedures. Due to growing need answers clinical questions, particular diagnostic imaging. The Neuro-POCUS working group, joint project by European Academy Neurology...
Gradation of high-grade intracranial internal carotid artery (ICA) stenosis poses a challenge to noninvasive neurovascular imaging, which seems critical for angioplasty in the ICA segments C1 and C5. We investigated cutoff values transcranial color-coded sonography (TCCS) compared this method with "gold standard," digital subtraction angiography (DSA).Forty patients (mean age, 58.9 +/- 13.8 years) lesions were prospectively examined by using TCCS DSA. Two standard coronal imaging planes used...
Headache is the common symptom in patients with cervical artery dissection. However, it rarely occurs isolation, without focal neurological signs, and even more mimics migraine. We present a clinical case of young woman new severe throbbing unilateral headache which started one week after manipulative therapy. No history migraine was present. Vertebral dissection diagnosed duplex ultrasound CT angiography. Local symptoms signs were absent, diffusion-weighted MRI did not show any acute brain...
Ziel: Die transkranielle Perfusionssonografie (TPS) ist eine neue, nicht invasive Methode zur Darstellung der Hirnperfusion. Ziel war die Bewertung einer neuen TPS-Modalität, einen niedrigen MI mit hohen (nahezu Echtzeit) Bildrate kombiniert und Untersuchung deren Intra- Interobserver-Variabilität. Material Methoden: 10 gesunde Probanden erhielten 3-mal TPS einem (1,0) (8,3 Hz). Untersuchungen wurden von 2 Sonografeuren im Cross-over-Design durchgeführt: 1. 2-fache Messungen bei je 5...
Cerebrovascular diagnostics are increasingly important in stroke therapy, especially cases when the time window for IV rtPA has exceeded, follow-up and secondary prevention of ischemic stroke. Transcranial color-coded duplex sonography (TCCS), a noninvasive flexible method vascular parenchymal imaging adult brain, is considered complementary to CT- MR-Angio as investigator depicts intracranial hemodynamics including occlusions, stenosis sufficiency collateral flow. After an introduction...
Embolic complications resulting from significant innominate artery stenosis (IAS) is a rare pathology. We present clinical case of IAS with subsequent middle cerebral (MCA) occlusion detected computed tomography and neurovascular ultrasound successfully treated using endovascular embolectomy within 4 hours after symptom onset. The patient recovered well. Additional endarterectomy days later showed fresh thrombi on the vessel wall, resulted in complete normalisation blood flow. This to best...
In central retinal artery occlusion (CRAO) or stroke, which is usually a vision-threatening condition, timely diagnosis imperative to improve the chances of preservation and establish adequate secondary prevention measures. Even though strokes have been traditionally assigned field ophthalmology, while considering reperfusion therapy as only way avoid permanent vision loss, we suggest prompt evaluation CRAO causes (primarily related cardiovascular risk factors) performed by well-organized...
Reikšminiai žodžiai: pamato branduoliai, magnetinio rezonanso tomografija, kompiuterinė diferencinė diagnostika. Pamato branduoliai – simetriškos požievinės giliosios pilkosios medžiagos sankaupos galvos smegenyse, sudarančios ekstrapiramidinės sistemos pagrindą. Pagrindiniai yra uodeguotasis (nucleus caudatus) ir lęšinis lentiformis), kurį sudaro kiautas (putamen) blyškusis kamuolys (globus pallidus). Pagrindinė branduolių funkcija valingų judesių atlikimo (pradžios, amplitudės, greičio)...
Background. Acute subarachnoid haemorrhage (SAH) is a dangerous condition: roughly 50% of patients die within 30 days, nearly 25% develop significant neuropsychological and cognitive deficits, about 10% suffer from other complications, only around 15% recover fully. One the main causes mortality cerebral vasospasm (CVS), cause delayed ischaemia (DCI), which can lead to secondary infarction. Thus, early detection CVS crucial for improving patient outcomes.The aim this study was analyse...
Hereditary hemorrhagic telangiectasia (HHT), is a very rare vascular disorder, characterized by arteriovenous malformations of various types. High cervical dural fistulas are extremely and usually manifestate with progressive myelopathy. We present neurovascular imaging in patient suffering from intradural extramedullar intracranial malformation who presented repeated transient ischemic brainstem attacks. This case illustrates the hemodynamic anatomical information derived multimodal...
Ziel: Die konventionelle transkranielle Perfusionssonographie (ultrasound perfusion imaging, UPI) basiert auf der Bolusinjektion eines Echosignalverstärkers und zeitgetriggerter Bildaufnahme. Zur Optimierung unserer Geräteeinstellungen verglichen wir zwei unterschiedliche Bildraten (frame rate, FR) Sendeleistungen (angegeben als mechanical index, MI) mit dem Ziel, echtzeitähnliche Untersuchungsbedingungen zu erreichen hiermit die Berechnung von kinetischen Parametern präzisieren. Material...
The number of diagnosed tick-borne encephalitis in humans has been increasing and the virus can be seen more geographical locations. There are few reasons for cases which could attributed to popularity outdoor activities, tourism infected areas, better diagnosis disease. Lithuania is among countries Europe with absolute highest numbers documented encephalitis. In 2016, incidence EE was two times higher than 2015. Tick-borne causes human neurological symptoms. made difficult by unspecified...
Patent foramen ovale (PFO) occurs in about 25% of healthy adults, however, it is significantly more common among patients with cryptogenic stroke. Although PFO might be a direct cause ischemia, often an accidental finding stroke patients. In most cases, just presumed diagnosis as difficult to prove etiological factor. Randomized trials and meta-analysis have showed controversial results searching for the effective prevention recurrence last six years. Nevertheless, currently available data...
Background. Lithuania is one of the countries with highest incidence TBE in Europe. In 2015 there was 12 cases per 100 000 people year and 2016 this number higher by two times. The aim study to investigate evaluate I–IV medical students’ attitude knowledge incidences Lithuania, risk getting it, complications, treatment, preventive methods behaviour, information sources about tick-borne diseases.Materials methods. conducted using an anonymous questionnaire, which administered 404 students...
Increasing mortality and morbidity rates of neurolisteriosis in Lithuania Europe require methodological standardized treatment a rapid response to the patient’s serious condition. Listeria monocytogenes is an aerobic gram-positive bacillus that can cause invasive listeriosis humans, which most commonly affects central nervous system. Clinically, occurs as meningoencephalitis, associated with highest rate patients severe conditions. The at-risk populations are pregnant women, neonates, people...