Clinical Brain Death with False Positive Radionuclide Cerebral Perfusion Scans
Practice guidelines from the American Academy of Neurology for the determination of brain death in adults define brain death as “the irreversible loss of function of the brain, including the brainstem.” Neurological determination of brain death is primarily based on clinical examination; if clinical...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2015/630430 |
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| author | Sindhaghatta Venkatram Sara Bughio Gilda Diaz-Fuentes |
| author_facet | Sindhaghatta Venkatram Sara Bughio Gilda Diaz-Fuentes |
| author_sort | Sindhaghatta Venkatram |
| collection | DOAJ |
| description | Practice guidelines from the American Academy of Neurology for the determination of brain death in adults define brain death as “the irreversible loss of function of the brain, including the brainstem.” Neurological determination of brain death is primarily based on clinical examination; if clinical criteria are met, a definitive confirmatory test is indicated. The apnea test remains the gold standard for confirmation. In patients with factors that confound the clinical determination or when apnea tests cannot safely be performed, an ancillary test is required to confirm brain death. Confirmatory ancillary tests for brain death include (a) tests of electrical activity (electroencephalography (EEG) and somatosensory evoked potentials) and (b) radiologic examinations of blood flow (contrast angiography, transcranial Doppler ultrasound (TCD), and radionuclide methods). Of these, however, radionuclide studies are used most commonly. Here we present data from two patients with a false positive Radionuclide Cerebral Perfusion Scan (RCPS). |
| format | Article |
| id | doaj-art-ba6438c0c7904ec698e48461f4ad788b |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-ba6438c0c7904ec698e48461f4ad788b2025-02-03T06:05:59ZengWileyCase Reports in Critical Care2090-64202090-64392015-01-01201510.1155/2015/630430630430Clinical Brain Death with False Positive Radionuclide Cerebral Perfusion ScansSindhaghatta Venkatram0Sara Bughio1Gilda Diaz-Fuentes2Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USAAlbert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USADivision of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USAPractice guidelines from the American Academy of Neurology for the determination of brain death in adults define brain death as “the irreversible loss of function of the brain, including the brainstem.” Neurological determination of brain death is primarily based on clinical examination; if clinical criteria are met, a definitive confirmatory test is indicated. The apnea test remains the gold standard for confirmation. In patients with factors that confound the clinical determination or when apnea tests cannot safely be performed, an ancillary test is required to confirm brain death. Confirmatory ancillary tests for brain death include (a) tests of electrical activity (electroencephalography (EEG) and somatosensory evoked potentials) and (b) radiologic examinations of blood flow (contrast angiography, transcranial Doppler ultrasound (TCD), and radionuclide methods). Of these, however, radionuclide studies are used most commonly. Here we present data from two patients with a false positive Radionuclide Cerebral Perfusion Scan (RCPS).http://dx.doi.org/10.1155/2015/630430 |
| spellingShingle | Sindhaghatta Venkatram Sara Bughio Gilda Diaz-Fuentes Clinical Brain Death with False Positive Radionuclide Cerebral Perfusion Scans Case Reports in Critical Care |
| title | Clinical Brain Death with False Positive Radionuclide Cerebral Perfusion Scans |
| title_full | Clinical Brain Death with False Positive Radionuclide Cerebral Perfusion Scans |
| title_fullStr | Clinical Brain Death with False Positive Radionuclide Cerebral Perfusion Scans |
| title_full_unstemmed | Clinical Brain Death with False Positive Radionuclide Cerebral Perfusion Scans |
| title_short | Clinical Brain Death with False Positive Radionuclide Cerebral Perfusion Scans |
| title_sort | clinical brain death with false positive radionuclide cerebral perfusion scans |
| url | http://dx.doi.org/10.1155/2015/630430 |
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