Brain death: practicability of evoked potentials.

Abstract:

:Multimodally evoked potentials were registered in 85 patients who fulfilled the criteria for brain death. While somatosensory and visual evoked potentials have been found to be of limited value for the diagnosis of brain death, the stepwise abolition of brain stem auditory evoked potentials (BAEP) confirmed brain death in 26 out of 85 patients, i.e. 31%. Registration of the abolition of BAEP is concluded to be a safe and acceptable confirmatory test. It is, however, more feasible for institutions, in which BAEP are analysed routinely. In spite of all efforts sequential BAEP could not be used for the diagnosis of brain death in the majority of cases either because of absence of reproducible responses at the initial registration or because the patient was already apnoic at the time of the initial BAEP. Assuming that bilateral preservation of wave I has the same significance as the stepwise abolition of BAEP, since it also proves the integrity of the peripheral receptor, BAEP are relevant for the declaration of brain death in approximately 30% of patients.

journal_name

Neurosurg Rev

journal_title

Neurosurgical review

authors

Firsching R,Frowein RA,Wilhelms S,Buchholz F

doi

10.1007/BF00257800

keywords:

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

249-54

issue

4

eissn

0344-5607

issn

1437-2320

journal_volume

15

pub_type

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