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- Bradford B Thompson, Linda C Wendell, N Stevenson Potter, Corey Fehnel, Janet Wilterdink, Brian Silver, and Karen Furie.
- Department of Neurology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, 593 Eddy Street, APC-712, Providence, RI, 02903, USA, bthompson@lifespan.org.
- Neurocrit Care. 2014 Dec 1; 21 (3): 534-8.
BackgroundTranscranial Doppler ultrasound (TCD) has been used as a confirmatory test for the diagnosis of brain death (BD), but may be inaccurate in patients with a skull defect or extraventricular drain (EVD).Methods And ResultsWe report three cases of patients with a skull defect or EVD in whom TCD supported a diagnosis of BD but in which the clinical examination later refuted the diagnosis.ConclusionWe caution against the use of TCD to confirm the diagnosis of BD in the presence of a skull defect or EVD.
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