Journal article
Subtle ocular movements in a patient with brain death
Journal of stroke and cerebrovascular diseases, Vol.29(9), p.104913
09/2020
DOI: 10.1016/j.jstrokecerebrovasdis.2020.104913
PMID: 32807410
Abstract
Introduction and Case Presentation: Brain death can be associated with limb movements that are attributed to spinal reflexes. Although head/face movements have been rarely reported, no case of overt eye movements in brain death has been documented. We report a case of a patient with subtle eye movements whose exam was otherwise consistent with brain death. The presence of eye movements delayed pronouncing the patient as brain dead and delayed organ donation. We agree with American Academy of Neurology Position statement from 2019 that brain death does not mean demise of every neuron. Discussion: This case raises important questions about the types of movements that should be “allowed” during the determination of brain death to avoid delays in diagnosis.
Details
- Title: Subtitle
- Subtle ocular movements in a patient with brain death
- Creators
- D Fattal - Iowa City VA Medical Center, University of Iowa, Neurology Department, 200 Hawkins Drive, Iowa City, IA 52242J McDaniel - University of IowaE C Leira - University of IowaG A Schmidt - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of stroke and cerebrovascular diseases, Vol.29(9), p.104913
- DOI
- 10.1016/j.jstrokecerebrovasdis.2020.104913
- PMID
- 32807410
- NLM abbreviation
- J Stroke Cerebrovasc Dis
- ISSN
- 1052-3057
- eISSN
- 1532-8511
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 09/2020
- Academic Unit
- Neurology; Pulmonary, Critical Care, and Occupational Medicine; Epidemiology; Iowa Neuroscience Institute; Neurosurgery; Internal Medicine
- Record Identifier
- 9984070207202771
Metrics
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