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Journal of neurology · Jan 1993
Case ReportsPreserved cortical somatosensory evoked potentials in apnoeic coma with loss of brain-stem reflexes: case report.
- W Wagner, K Ungersböck, and A Perneczky.
- Neurochirurgische Universitätsklinik, Mainz, Germany.
- J. Neurol. 1993 Jan 1;240(4):243-8.
AbstractA comatose patient suffering from diffuse cerebellar haemorrhage developed apnoea and brainstem areflexia, i.e. the clinical signs of brain death. However, median nerve somatosensory evoked potential testing 2.5 h and 22 h after the onset of this clinical syndrome showed cortical potentials partly preserved; these were abolished 46 h after the beginning of the clinical signs of brain death. This case report underlines the need for electrophysiological confirmation of brain death in patients with primarily infratentorial lesions.
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