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Brainstem death is a clinical syndrome defined by the absence of reflexes with pathways through the brainstem – the "stalk" of the brain, which connects the spinal cord to the mid-brain, cerebellum and cerebral hemispheres – in a deeply comatose, ventilator-dependent patient.
However, each of these criteria fails to fit a substantial proportion of patients, and there is no single test or feature which is diagnostic of Bickerstaff brainstem encephalitis. It is, therefore, possible that a proportion of cases are due to other causes, such as infection or lymphoma, but remain undiagnosed. It is also possible that there ...
Brain death; Other names: Brain stem death: A brain-dead patient. The patient can also be seen here executing the Lazarus sign. Specialty: Neurology, neurosurgery, palliative care, critical care medicine: Complications: Total organ failure: Causes: Cardiac arrest, myocardial infarction, stroke, blood clot: Diagnostic method: Stimulation testing ...
Brain death - Lazarus sign The Lazarus sign or Lazarus reflex is a reflex movement in brain-dead or brainstem failure patients, [ 1 ] which causes them to briefly raise their arms and drop them crossed on their chests (in a position similar to some Egyptian mummies ).
The risk of death from an intraparenchymal bleed in traumatic brain injury is especially high when the injury occurs in the brain stem. [48] Intraparenchymal bleeds within the medulla oblongata are almost always fatal, because they cause damage to cranial nerve X, the vagus nerve, which plays an important role in blood circulation and breathing ...
Per the United Kingdom Medical Royal Colleges, a diagnosis of brain death is a two-fold process including 1) identifying the cause of irreversible brain damage and excluding reversible causes of brain damage and 2) conducting a series of clinical and laboratory tests to assess brain stem function. [7] [8]
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A brainstem stroke syndrome falls under the broader category of stroke syndromes, or specific symptoms caused by vascular injury to an area of brain (for example, the lacunar syndromes).