Technical improvements accomplished over the last few years allow imag
ing of intracranial parenchymal structures as well as of basal cerebra
l arteries by ultrasound. Low frequency probes (2-2.5 MHz) and colour
Doppler technology are required for these examinations. Recent experie
nce in clinical practice proves that perfusion patterns in basal cereb
ral arteries can be depicted more accurately and with better reproduci
bility compared to conventional transcranial Doppler sonography. Simul
taneous B-Mode imaging allows detection of cerebral haemorrhage, brain
tumours and ventricular enlargement. Preliminary data on the sensitiv
ity and specificity are promising and encourage further prospective st
udies.