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Saturday 12 November 2016

Deep coma following subarachnoid hemorrhage





A 60-year-old with a large subarachnoid hemorrhage due to ruptured cerebral aneurysm, had no spontaneous movement since the time of admission and for the subsequent week. He was kept intubated.





Which of the following  is most appropriate to diagnose brain death in this case?

a- Apnea testing
b- Presence of fixed and dilated pupils
c- MRI of the brain
d- Cerebral angiography
e- Absence of cranial nerve reflexes


Check the answer below

















Answer: a

The most important signs of brain death are:

1-     Absence of response to all external stimuli.
2-     Lack of oculovestibular and corneal reflexes.
3-    Apnea

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