Isolated brain-stem death. Case report with demonstration of preserved visual evoked potentials (VEPs) |
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| Affiliation: | 1. Sanofi, Translational Sciences Unit, Chilly-Mazarin, France;2. INSERM U-930, Université François Rabelais Tours, UFR Sciences et Techniques, Parc Grandmont, Tours, France;1. Department of Pharmacology, School of Medicine, University of São Paulo, Ribeirão Preto, SP, Brazil;2. Department of Psychiatric Nursing and Human Sciences, College of Nursing of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil;1. Servicio de Medicina Intensiva, HU Puerta de Hierro-Majadahonda, Majadahonda, Madrid, Spain;2. Servicio de Medicina Crítica, HU San José TEC Salud, Monterrey, N.L., Mexico;3. Servicio de Medicina Intensiva, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain;4. Servicio de Medicina Crítica, Hospital General del Estado Dr. Ernesto Ramos Bours, Hermosillo, Sonora, Mexico |
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| Abstract: | Brain-stem death is a state in which brain-stem functions have been ceased whereas the hemispheres still have electrical activity. We report a patient with a haematoma over the cerebellum and the pons who showed a preserved electroencephalogram and VEPs whereas all clinical signs of cerebral death were present. Normal VEPs in isolated brain-stem death have been not yet been reported. We conclude that in any case of infratentorial lesion, an electroencephalogram should be recorded for the diagnosis of brain death. |
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