Department of Pulmonary Medicine, GMCH, Chandigarh, India.
Am J Emerg Med. 2012 Sep;30(7):1321.e1-2. doi: 10.1016/j.ajem.2011.05.016. Epub 2011 Jul 29.
Brain death is defined as the cessation of cerebral and brainstem function. A 12-year-old boy presented with alleged history of snake bite. He was brain dead with Glasgow Coma Score of 3 and absent corneal reflexes. However, it was only neuroparalytic effect of the venom, which improved in due course of time with antivenoms. This case highlights the occurrence of both internal and external ophthalmoplegia, which would mimic brain death in many ways, thus prompting an intensivist to consider withdrawing ventilatory support, which would be disastrous.
脑死亡定义为大脑和脑干功能的停止。一名 12 岁男孩据称被蛇咬伤后出现症状。他处于脑死亡状态，格拉斯哥昏迷评分为 3 分，角膜反射消失。然而，这只是毒液的神经麻痹作用，随着抗蛇毒血清的使用，这种作用在适当的时间内得到了改善。本病例突出了动眼神经内外麻痹的发生，这在很多方面会模拟脑死亡，从而促使重症监护医生考虑停止呼吸机支持，这将是灾难性的。
