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The reversal of diastolic cerebral blood flow has been regarded as a characteristic waveform of brain death and a useful confirming sign. We report 2 patients who had diastolic flow reversal but survived. One, a 1-month-old boy with status epilepticus, had reversal of diastolic cerebral blood flow detected by Doppler ultrasound soon after admission. Reversal disappeared after medical management for increased intracranial pressure and seizure control. He recovered without sequelae. The other, a 6-month-old girl with choroid plexus papilloma, had reversal of diastolic flow during abrupt clinical deterioration. Emergent surgical removal of the tumor was performed and she survived with hemiparesis and psychomotor retardation. Our patients demonstrated that even in the presence of diastolic reversal of cerebral blood flow, prompt and effective treatment can avoid a fatal outcome.
N C Chiu, and
E Y Shen, and
B S Lee
January 1987,
Lancet (London, England),
N C Chiu, and
E Y Shen, and
B S Lee
April 2000,
Southern medical journal,
N C Chiu, and
E Y Shen, and
B S Lee
September 1993,
The Annals of thoracic surgery,
N C Chiu, and
E Y Shen, and
B S Lee
January 1989,
Pediatric radiology,
N C Chiu, and
E Y Shen, and
B S Lee
May 1985,
Acta paediatrica Scandinavica,
N C Chiu, and
E Y Shen, and
B S Lee
October 1998,
Lancet (London, England),
N C Chiu, and
E Y Shen, and
B S Lee
January 1969,
Acta neurochirurgica,
N C Chiu, and
E Y Shen, and
B S Lee
November 2020,
British journal of anaesthesia,
N C Chiu, and
E Y Shen, and
B S Lee
December 2008,
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology,
N C Chiu, and
E Y Shen, and
B S Lee
July 1990,
No to hattatsu = Brain and development,
