Application of one-dimensional echoencephalography to diagnosis of brain death. 1994

Y Kumchev, and Z Kiskinov
Department of Neurosurgery, University of Medicine, Plovdiv, Bulgaria.

Three groups of patients were studied by echoencephalography using a one-dimensional encephalograph Eho 12. The first group consisted of 100 patients with a mild craniocerebral traumas. Good pulsations of the elements of the echoencephalogram were found during the study. The second group involved 14 people who had died as a result of craniocerebral trauma. The investigation performed postmortem revealed fixed echoencephalogram without any pulsations of its elements. The third group included 11 patients with severe craniocerebral trauma in a state of deep coma. These patients were on mechanical ventilation, their brainstem reflexes were absent, but the cardiac activity remained preserved. The echoencephalographic study in these patients showed a fixed screen curve, without pulsations of its elements. We conclude that absence of pulsations of the elements of echoencephalogram produced by one-dimensional echoencephalograph indicates brain death of the investigated patients. This investigation should be included as a component of the established diagnostic tests.

UI MeSH Term Description Entries
D001926 Brain Death A state of prolonged irreversible cessation of all brain activity, including lower brain stem function with the complete absence of voluntary movements, responses to stimuli, brain stem reflexes, and spontaneous respirations. Reversible conditions which mimic this clinical state (e.g., sedative overdose, hypothermia, etc.) are excluded prior to making the determination of brain death. (From Adams et al., Principles of Neurology, 6th ed, pp348-9) Brain Dead,Coma Depasse,Irreversible Coma,Brain Deads,Coma, Irreversible,Death, Brain
D004453 Echoencephalography Use of reflected ultrasound in the diagnosis of intracranial pathologic processes. Echoencephalographies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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