Ancillary tests for brain death
BackgroundAncillary tests are often used in the determination of death by neurologic criteria (DNC), especially when the clinical examination is inconclusive. DNC is widely accepted, as defined by the comprehensive report of the World Brain Death Project. However, there are several medical, legal, r...
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Frontiers Media S.A.
2025-01-01
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Series: | Frontiers in Neurology |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1491263/full |
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author | Shyam Duvuru Vivek Sanker Rajeeb Kumar Mishra Arvind K. Sharma Shir Lynn Lim Nisha Baskar Vijay K. Sharma |
author_facet | Shyam Duvuru Vivek Sanker Rajeeb Kumar Mishra Arvind K. Sharma Shir Lynn Lim Nisha Baskar Vijay K. Sharma |
author_sort | Shyam Duvuru |
collection | DOAJ |
description | BackgroundAncillary tests are often used in the determination of death by neurologic criteria (DNC), especially when the clinical examination is inconclusive. DNC is widely accepted, as defined by the comprehensive report of the World Brain Death Project. However, there are several medical, legal, religious, ethical, and social controversies. Accordingly, “premature” and “delayed” diagnoses of brain death attract these issues.MethodsDepending upon the availability and experience of the managing medical teams, various ancillary tests are employed for an early and supplementary diagnosis of brain death.ResultsWe describe the practicality, test performance, and utility of some of the commonly employed ancillary tests for the diagnosis of brain death in clinical practice, along with their case examples.ConclusionBrain death is a clinical diagnosis determined by history, physical examination, and adherence to recommended criteria. All ancillary investigations are used as supplementary tests with variable accuracy parameters. These ancillary tests often facilitate an early and “timely” diagnosis of brain death. |
format | Article |
id | doaj-art-8a7d119f83c241a8aab71b9ade1acc90 |
institution | Kabale University |
issn | 1664-2295 |
language | English |
publishDate | 2025-01-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Neurology |
spelling | doaj-art-8a7d119f83c241a8aab71b9ade1acc902025-01-07T06:47:05ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011510.3389/fneur.2024.14912631491263Ancillary tests for brain deathShyam Duvuru0Vivek Sanker1Rajeeb Kumar Mishra2Arvind K. Sharma3Shir Lynn Lim4Nisha Baskar5Vijay K. Sharma6Apollo Specialty Hospital, Madurai, IndiaApollo Specialty Hospital, Madurai, IndiaNational Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, IndiaZydus Hospitals, Ahmedabad, IndiaYong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeApollo Specialty Hospital, Madurai, IndiaYong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeBackgroundAncillary tests are often used in the determination of death by neurologic criteria (DNC), especially when the clinical examination is inconclusive. DNC is widely accepted, as defined by the comprehensive report of the World Brain Death Project. However, there are several medical, legal, religious, ethical, and social controversies. Accordingly, “premature” and “delayed” diagnoses of brain death attract these issues.MethodsDepending upon the availability and experience of the managing medical teams, various ancillary tests are employed for an early and supplementary diagnosis of brain death.ResultsWe describe the practicality, test performance, and utility of some of the commonly employed ancillary tests for the diagnosis of brain death in clinical practice, along with their case examples.ConclusionBrain death is a clinical diagnosis determined by history, physical examination, and adherence to recommended criteria. All ancillary investigations are used as supplementary tests with variable accuracy parameters. These ancillary tests often facilitate an early and “timely” diagnosis of brain death.https://www.frontiersin.org/articles/10.3389/fneur.2024.1491263/fullbrain deathancillary testsdeath by neurologic criteriabrainstem functionscerebral circulatory arresttranscranial Doppler |
spellingShingle | Shyam Duvuru Vivek Sanker Rajeeb Kumar Mishra Arvind K. Sharma Shir Lynn Lim Nisha Baskar Vijay K. Sharma Ancillary tests for brain death Frontiers in Neurology brain death ancillary tests death by neurologic criteria brainstem functions cerebral circulatory arrest transcranial Doppler |
title | Ancillary tests for brain death |
title_full | Ancillary tests for brain death |
title_fullStr | Ancillary tests for brain death |
title_full_unstemmed | Ancillary tests for brain death |
title_short | Ancillary tests for brain death |
title_sort | ancillary tests for brain death |
topic | brain death ancillary tests death by neurologic criteria brainstem functions cerebral circulatory arrest transcranial Doppler |
url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1491263/full |
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