J Korean Neurol Assoc.
2007 Aug;25(3):372-376.
Significance of Brain CT Angiography in Determination of Brain Death in a Patient with Barbiturate Coma Therapy after Subarachnoid Hemorrhage
- Affiliations
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- 1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. dwseo@smc.samsung.co.kr
- 2Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
- 3Department of Neurology, Korea University College of Medicine, Seoul, Korea.
Abstract
- In determination of brain death, brain CT angiography (CTA) can be used as a new ancillary test to assist EEG which is the current gold standard. We report a patient with barbiturate coma therapy whose CTA showed weak filling of the internal carotid artery and its branches when his EEG demonstrated regional beta activities in the corresponding area, which finally disappeared. Combined use of CTA and serial EEGs would be helpful as brain death testing in a patient with barbiturate coma therapy.
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