Brain death determination by angiography in the setting of a skull defect

L. A. Alvarez, Richard B. Lipton, A. Hirschfeld, O. Salamon, G. Lantos

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

The absence of cerebral blood flow is presently considered the most reliable ancillary test in diagnosing brain death. A patient with an open skull fracture who met all criteria for brain death, including confirmatory postmortem studies, had a cerebral angiogram that showed unilateral preservation of cerebral circulation with diffuse extravasation of contrast material. We conclude that a skull defect may result in pressure reduction within the cranial cavity and persistent ipsilateral cerebral circulation, even after brain death. In this setting, diffuse extravasation of contrast material on angiography may reflect diffuse autolysis and suggest the diagnosis of brain death.

Original languageEnglish (US)
Pages (from-to)225-227
Number of pages3
JournalArchives of Neurology
Volume45
Issue number2
StatePublished - 1988

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Cerebrovascular Circulation
Brain Death
Skull
Angiography
Contrast Media
Skull Fractures
Autolysis
Open Fractures
Pressure
Defects

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Alvarez, L. A., Lipton, R. B., Hirschfeld, A., Salamon, O., & Lantos, G. (1988). Brain death determination by angiography in the setting of a skull defect. Archives of Neurology, 45(2), 225-227.

Brain death determination by angiography in the setting of a skull defect. / Alvarez, L. A.; Lipton, Richard B.; Hirschfeld, A.; Salamon, O.; Lantos, G.

In: Archives of Neurology, Vol. 45, No. 2, 1988, p. 225-227.

Research output: Contribution to journalArticle

Alvarez, LA, Lipton, RB, Hirschfeld, A, Salamon, O & Lantos, G 1988, 'Brain death determination by angiography in the setting of a skull defect', Archives of Neurology, vol. 45, no. 2, pp. 225-227.
Alvarez LA, Lipton RB, Hirschfeld A, Salamon O, Lantos G. Brain death determination by angiography in the setting of a skull defect. Archives of Neurology. 1988;45(2):225-227.
Alvarez, L. A. ; Lipton, Richard B. ; Hirschfeld, A. ; Salamon, O. ; Lantos, G. / Brain death determination by angiography in the setting of a skull defect. In: Archives of Neurology. 1988 ; Vol. 45, No. 2. pp. 225-227.
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