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Head turning in brain death

J M Christie1, T D O'Lenic, R D Cane

  • 1University of South Florida College of Medicine, Department of Anesthesiology, Tampa 33612-4788, USA.

Journal of Clinical Anesthesia
|March 1, 1996
PubMed
Summary
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Brain death criteria are established, but complex spinal reflexes like head shaking can occur post-mortem. This case highlights the persistence of spinal cord activity even after brain death is confirmed.

Area of Science:

  • Neurology
  • Neuroscience
  • Clinical Medicine

Background:

  • Established criteria exist for diagnosing brain death in adults.
  • Spinal cord reflexes are known to potentially persist following irreversible cessation of all brain function.

Observation:

  • A case of a brain dead adult patient exhibiting complex spinal automatism is presented.
  • The observed automatism included spontaneous head shaking and arm extension movements.

Findings:

  • The patient met all established criteria for brain death.
  • Despite confirmed brain death, significant spinal cord reflexes manifested as complex motor activity.

Implications:

  • This case underscores the importance of understanding the nuances of spinal cord reflexes in brain death determination.

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  • It may prompt a review of diagnostic protocols to differentiate true brain death from persistent spinal activity.
  • Further research into the mechanisms of spinal automatism in brain dead individuals is warranted.