Pediatric brain death determination.

Abstract:

:Clinical guidelines for the determination of brain death in children were first published in 1987. These guidelines were revised in 2011 under the auspices of the Society of Critical Care Medicine, the American Academy of Pediatrics, and the Child Neurology Society, and provide the minimum standards that must be satisfied before brain death can be declared in infants and children. After achieving physiologic stability and exclusion of confounders, two examinations including apnea testing separated by an observation period (24 hours for term newborns up to 30 days of age, and 12 hours for infants and children from 31 days up to 18 years) are required to establish brain death. Apnea testing should demonstrate a final arterial PaCO2 20 mm Hg above the baseline and ≥ 60 mm Hg with no respiratory effort during the testing period. Ancillary studies (electroencephalogram and radionuclide cerebral blood flow) are not required to establish brain death and are not a substitute for the neurologic examination. The committee concluded that ancillary studies may be used (1) when components of the examination or apnea testing cannot be completed, (2) if uncertainty about components of the neurologic examination exists, (3) if a medication effect may be present, or (4) to reduce the interexamination observation period. When ancillary studies are used, a second clinical examination and apnea test should still be performed and components that can be completed must remain consistent with brain death.

journal_name

Semin Neurol

journal_title

Seminars in neurology

authors

Mathur M,Ashwal S

doi

10.1055/s-0035-1547540

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

116-24

issue

2

eissn

0271-8235

issn

1098-9021

journal_volume

35

pub_type

杂志文章,评审
  • Recognition and diagnosis of neuro-ichthyotic syndromes.

    abstract::The combination of neurologic disease and ichthyosis defines a heterogeneous group of rare inherited disorders that present in infancy through early adulthood. Although affected patients share the cutaneous feature of ichthyosis, there is variability in the nature and severity of neurologic disease. Impaired cognition...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1306390

    authors: Rizzo WB,Jenkens SM,Boucher P

    更新日期:2012-02-01 00:00:00

  • Causes of imbalance and abnormal gait that may be misdiagnosed.

    abstract::Disorders of gait and balance are common in medicine and often lead to referral for neurologic evaluation. Because the maintenance of balance and normal gait are mediated by complex neurologic pathways as well as musculoskeletal, metabolic, and behavioral considerations, the list of possible contributing causes is ver...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1354601

    authors: Shill HA,Fife TD

    更新日期:2013-07-01 00:00:00

  • Acute Dizziness.

    abstract::Dizziness is a common chief complaint with an extensive differential diagnosis that includes both benign and serious conditions. Physicians must distinguish the majority of patients who suffer from self-limiting conditions from those with serious illnesses that require acute treatment. The preferred approach to the di...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1676857

    authors: Gurley KL,Edlow JA

    更新日期:2019-02-01 00:00:00

  • Neurological Complications of Endocarditis: A Multidisciplinary Review with Focus on Surgical Decision Making.

    abstract::Infective endocarditis (IE) is a systemic disease with many potential neurologic manifestations including ischemic and hemorrhagic strokes, cerebral microbleeding, infectious intracranial aneurysms, meningitis, brain abscesses, and encephalopathy. The majority of left-sided (heart) IE patients have brain lesions that ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1688826

    authors: Carneiro TS,Awtry E,Dobrilovic N,Fagan MA,Kimmel S,Weinstein ZM,Cervantes-Arslanian AM

    更新日期:2019-08-01 00:00:00

  • Alteplase and Adjuvant Therapies for Acute Ischemic Stroke.

    abstract::Acute ischemic stroke (AIS) is a time sensitive medical emergency and a leading cause of morbidity and mortality worldwide. Intravenous (IV) recombinant tissue plasminogen activator (IV alteplase) is currently the only proven effective medication for the treatment of AIS with promising adjuvant medications currently u...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1722720

    authors: Gottula AL,Barreto AD,Adeoye O

    更新日期:2021-01-20 00:00:00

  • Metabolic testing in mitochondrial disease.

    abstract::Mitochondrial oxidative phosphorylation (OXPHOS) disorders are a heterogeneous group of diseases with variable expression that often pose diagnostic dilemmas. Although definitive diagnosis of these disorders usually requires a muscle biopsy and mtDNA and enzymatic testing, standard metabolic studies including organic ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2001-17947

    authors: Dougherty FE

    更新日期:2001-09-01 00:00:00

  • Narcolepsy and syndromes of primary excessive daytime somnolence.

    abstract::Excessive daytime sleepiness (EDS) or somnolence is common in our patients and in society in general. The most common cause of EDS is "voluntary" sleep restriction. Other common causes include sleep-fragmenting disorders such as the obstructive sleep apnea syndrome. Somewhat less familiar to the clinician are EDS cond...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-835069

    authors: Black JE,Brooks SN,Nishino S

    更新日期:2004-09-01 00:00:00

  • The "Sick-but-not-Dead" Phenomenon Applied to Catecholamine Deficiency in Neurodegenerative Diseases.

    abstract::The catecholamines dopamine and norepinephrine are key central neurotransmitters that participate in many neurobehavioral processes and disease states. Norepinephrine is also the main neurotransmitter mediating regulation of the circulation by the sympathetic nervous system. Several neurodegenerative disorders feature...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713874

    authors: Goldstein DS

    更新日期:2020-10-01 00:00:00

  • The genetics of dementia.

    abstract::Over the past decade, there has been a dramatic evolution of genetic methodologies that can be used to identify genes contributing to disease. Initially, the focus was primarily on classical linkage analysis; more recently, genomewide association studies, and high-throughput whole genome and whole exome sequencing hav...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0033-1359313

    authors: Farlow JL,Foroud T

    更新日期:2013-09-01 00:00:00

  • Emerging therapies in traumatic brain injury.

    abstract::Despite decades of basic and clinical research, treatments to improve outcomes after traumatic brain injury (TBI) are limited. However, based on the recent recognition of the prevalence of mild TBI, and its potential link to neurodegenerative disease, many new and exciting secondary injury mechanisms have been identif...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1544237

    authors: Kochanek PM,Jackson TC,Ferguson NM,Carlson SW,Simon DW,Brockman EC,Ji J,Bayır H,Poloyac SM,Wagner AK,Kline AE,Empey PE,Clark RS,Jackson EK,Dixon CE

    更新日期:2015-02-01 00:00:00

  • Gender-specific challenges in the management of epilepsy in women.

    abstract::The management of epilepsy in women encompasses a complex interplay between seizures, sex steroid hormones, and antiepileptic drugs (AEDs). These interactions impact every aspect of the sexual and reproductive health of women with epilepsy throughout their lifetimes. Neurologists comfortable treating seizures may feel...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-985335

    authors: Noe KH

    更新日期:2007-09-01 00:00:00

  • Disorders of cognition.

    abstract::Cognitive complaints are common in any adult neurology practice, and may present in a variety of ways other than classic "memory loss." In this article, the author reviews a simple approach to a symptom-based differential diagnosis, including recognition of impairment in several key cognitive domains as well as associ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1271314

    authors: Woodruff BK

    更新日期:2011-02-01 00:00:00

  • Telestrokologists: treating stroke patients here, there, and everywhere with telemedicine.

    abstract::Telemedicine is the use of electronic communication methods, such as the telephone, the Internet, and videoconferencing, to exchange medical information from one geographic site to another. Telestroke is the use of telemedicine specifically for stroke care. A strokologist is a physician with the special skills require...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1268869

    authors: Demaerschalk BM

    更新日期:2010-11-01 00:00:00

  • Principles of Pharmacotherapy of Seizures and Status Epilepticus.

    abstract::Status epilepticus is a neurological emergency with an outcome that is highly associated with the initial pharmacotherapy management that must be administered in a timely fashion. Beyond first-line therapy of status epilepticus, treatment is not guided by robust evidence. Optimal pharmacotherapy selection for individu...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1718721

    authors: Der-Nigoghossian C,Tesoro EP,Strein M,Brophy GM

    更新日期:2020-12-01 00:00:00

  • Alphabet soup: making sense of genetic testing in CMT.

    abstract::The diagnosis of inherited neuropathies can be challenging in several ways. First, a hereditary neuropathy must be suspected. Although some family histories are clear with multiple members affected, other families require directed inquiry. Second, even when a hereditary neuropathy is clear, it can be difficult to make...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1267281

    authors: Lawson V,Gharibshahi S

    更新日期:2010-09-01 00:00:00

  • Genetic basis of autonomic dysfunction.

    abstract::The human genome has become a roadmap for elucidation of the pathophysiology of disease. It is likely that mutations in more than 1000 of the approximately 30,000 human genes will lead to autonomic abnormalities, either directly or indirectly. This review highlights some of these, which exert major effects on catechol...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-817723

    authors: Taneja I,Robertson D

    更新日期:2003-12-01 00:00:00

  • Psychogenic (nonepileptic) seizures.

    abstract::Psychogenic (nonepileptic) seizures are among the most common and serious of all psychogenic neurological disorders. They account for approximately 20% of all intractable seizure disorders referred to comprehensive epilepsy centers and present with a reported annual incidence of approximately 4% that of true epilepsy....

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-2006-945520

    authors: Krumholz A,Hopp J

    更新日期:2006-07-01 00:00:00

  • Update in Pediatric Pseudotumor Cerebri Syndrome.

    abstract::Pseudotumor cerebri syndrome (PTCS) is a rare condition in children presenting with headache and papilledema from increased intracranial pressure that can cause significant morbidity. This can be idiopathic, also known as idiopathic intracranial hypertension or primary intracranial hypertension, or can be secondary to...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1708847

    authors: Beres SJ

    更新日期:2020-06-01 00:00:00

  • Sleepiness.

    abstract::Sleep medicine can be a particularly rewarding clinical area for neurologists. After all, the driving organ of sleep is the brain. Many of the sleep disorders are primary brain disorders, whereas other sleep disorders (and their medications) influence brain function. But without an organized approach, even the engaged...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1586264

    authors: Ellenbogen JM

    更新日期:2016-10-01 00:00:00

  • Parkinsonism.

    abstract::Parkinsonism is a clinical syndrome, which is characterized by bradykinesia, rigidity, rest tremor, and postural instability. Idiopathic Parkinson disease (PD) is the most common cause of this syndrome, though there are several other important etiologies that must be considered. These include the atypical Parkinsonian...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1585097

    authors: Keener AM,Bordelon YM

    更新日期:2016-08-01 00:00:00

  • Alphabet soup: a personal, evolving, mostly evidence-based and logical, sequential approach to the "ABCNR" drugs in multiple sclerosis.

    abstract::With the development of multiple options for immunotherapy in multiple sclerosis, the clinician is faced with the challenge of keeping pace with the literature, acquiring familiarity with the various treatment options and opinions, and then offering the patients the most current and appropriate management. Given the i...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2002-33045

    authors: Mattson DH

    更新日期:2002-03-01 00:00:00

  • Prognosis: the adult with a learning disability.

    abstract::Deficiencies in reading and writing appear to be major and lasting handicaps for learning-disabled college students. However, gains have been made in program modifications for learning-disabled students in many higher education institutions. Many adults with learning disabilities find that their handicap makes it diff...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1041207

    authors: Gottesman RL

    更新日期:1991-03-01 00:00:00

  • Progressive multifocal leukoencephalopathy.

    abstract::Before the AIDS epidemic, progressive multifocal leukoencephalopathy (PML) was a rare disorder occurring most often in association with leukemia and lymphoma. Current estimates indicate that PML ultimately develops in up to 5% of all patients with AIDS. This demyelinating disease results from infection with JC virus, ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1040837

    authors: Berger JR,Major EO

    更新日期:1999-01-01 00:00:00

  • Epilepsy in the elderly.

    abstract::There are many unique characteristics in elderly patients with epilepsy. The incidence of seizure in this age group is the highest of any age group and continues to increase as people live longer. Etiology of seizures is different than for adults and includes cerebrovascular disease, dementia, closed head injury, and ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1079338

    authors: Jetter GM,Cavazos JE

    更新日期:2008-07-01 00:00:00

  • Autoimmune encephalopathy.

    abstract::Autoimmune encephalopathy represents a complex category of disease with diverse immunologic associations, clinical manifestations, and therapeutic outcomes. Three main subgroups include autoimmune encephalopathies without cancer but with neural nonspecific serologic evidence of autoimmunity (encompassing "Hashimoto's ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1277985

    authors: Flanagan EP,Caselli RJ

    更新日期:2011-04-01 00:00:00

  • Leptomeningeal metastasis.

    abstract::Leptomeningeal metastasis occurs in ~5% of all patients with cancer and is the third most common metastatic complication of the central nervous system. Staging of leptomeningeal metastasis includes contrast-enhanced brain and spine magnetic resonance imaging and radionuclide cerebrospinal fluid (CSF) flow study. Treat...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0030-1255220

    authors: Chamberlain MC

    更新日期:2010-07-01 00:00:00

  • Neuropathic Pain.

    abstract::Neuropathic pain management is challenging, and typically requires a multifaceted approach. There are several treatment options, both pharmacologic and nonpharmacologic. Of the available pharmacologic agents, those with the strongest supporting evidence include tricyclic antidepressants, serotonin-norepinephrine reupt...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1673679

    authors: Macone A,Otis JAD

    更新日期:2018-12-01 00:00:00

  • Global Health Neurology: HIV/AIDS.

    abstract::With the advent of combination antiretroviral therapies, the mortality rate from HIV has declined, while the prevalence of long-term HIV-related neurologic complications continues to rise. Thirty-six million individuals are living with HIV around the world, many of whom reside in resource-limited settings. The majorit...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1649334

    authors: Patel PB,Spudich SS

    更新日期:2018-04-01 00:00:00

  • Autoimmune Encephalitides and Rapidly Progressive Dementias.

    abstract::Rapidly progressive dementia (RPD) or cognitive decline is a common presenting complaint in neurology. While primary dementia is often a concern, other forms of reversible dementia must be thoroughly considered. This article focuses on the growing field of autoimmune encephalitis (AE) as it pertains to the differentia...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1678583

    authors: Wesley SF,Ferguson D

    更新日期:2019-04-01 00:00:00

  • Myotonic Disorders and Channelopathies.

    abstract::Myotonic dystrophies and channelopathies are rare but important causes of muscle diseases which may present with myotonia, episodic attacks of weakness, fixed muscle weakness, and atrophy or their combination. Here, the authors provide an overview of these disorders and describe their clinical and pathophysiological f...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1558979

    authors: Quinn C,Salajegheh MK

    更新日期:2015-08-01 00:00:00