Cortical thermal clearance provides a practical means of continuous as
sessment of cerebral blood flow3. A probe which can be used to monitor
cerebral cortical thermal clearance is described. It has proved a rel
iable method of predicting oligaemia, showing good correlation between
measured thermal clearance and the onset of clinical signs of ischaem
ia. The limitations are its size, invasiveness, small sample volume an
d difficulty with quantification. It is a useful additional tool in th
e management of patients suffering from acute neurosurgical disorders.