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[Computer tomography studies in irreversible cerebral function loss (brain death)].

J Planitzer, R Zschenderlein, H A Schulze

    Psychiatrie, Neurologie, Und Medizinische Psychologie
    |September 1, 1985
    PubMed
    Summary
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    Cranial computerized tomography (CT) offers a non-invasive alternative to cerebral angiography for documenting the cessation of brain blood flow. This method is useful for confirming brain death, especially in patients with neurological findings indicating the need for determination.

    Area of Science:

    • Neurology
    • Radiology
    • Medical Imaging

    Background:

    • Brain death determination requires confirmation of cerebral circulation arrest.
    • Cerebral angiography is an invasive method for documenting this arrest.
    • Non-invasive alternatives are sought to improve patient safety and procedural efficiency.

    Purpose of the Study:

    • To evaluate the utility of cranial computerized tomography (CT) as a non-invasive method for documenting cerebral circulation arrest.
    • To compare the effectiveness of CT with cerebral angiography in this context.

    Main Methods:

    • Specialized CT methods were employed.
    • The study involved 12 adult patients undergoing brain death determination.
    • Four young children were also included in the examination.

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    Main Results:

    • Cranial computerized tomography (CT) demonstrated its capability in visualizing cerebral circulation.
    • The findings suggest CT can effectively document the absence of blood flow in the brain.
    • The results indicate CT's potential as a viable alternative to angiography.

    Conclusions:

    • Cranial computerized tomography (CT) is a potentially useful, non-invasive method for documenting cerebral circulation arrest.
    • CT serves as a valuable alternative to cerebral angiography for confirming brain death.
    • This imaging technique aids in the documentation of circulatory arrest in the brain.