Brain death

Muerte Encefálica: Diagnóstico Apoyado por Doppler Transcraneal. Brain Death: Diagnosis Supported By Transcranial Doppler

Brain death is diagnosed through a clinical examination that requires a period of observation. We present the case of a patient diagnosed with aneurysmal subarachnoid hemorrhage, in whom after presenting symptomatic vasospasm, brain death was diagnosed with the support of transcranial Doppler sonography.

Conclusion: Transcranial Doppler allows us to demonstrate the cerebral circulatory arrest that accompanies brain death and shortens the observation period.

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Palabras clave: Aneurisma, diagnóstico, Doppler transcraneal, Hemorragia Subaracnoidea, Muerte encefálica,

Keywords: Aneurysm, Brain death, diagnosis, Subarachnoid Hemorrhage, Transcranial Doppler,

Síndrome de Guillain Barré imitando Muerte Encefálica.

Guillain Barré Syndrome is a neurological disease frequently admitted to the Intensive Care Unit, especially if there is associated hemodynamic or ventilatory compromise. Brain death is the irreversible cessation of all functions of Central Nervous System, and rarely, Guillain Barré Syndrome can mimick it, with subsequent recovery in the next few days or weeks. We report a case admitted to the Intensive Care Unit, with this type of evolution.

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Palabras clave: Doppler transcraneal, Guillain Barré, Muerte encefálica, polineuropatía,

Keywords: Brain death, Guillain Barre, polyneuropathy, Transcraneal Doppler,

Muerte Encefálica: Revisión de la literatura y actualización del tema.

One of the most complex situations that neurologists face is brain death. It is a painful state for the patient’s family, but by the other hand, it constitutes the hope for patients waiting for organ donation. Therefore it is essential to have a clear concept to achieve a correct diagnosis and management of this delicate situation.