Janzen R W C, Lambeck J, Niesen W, Erbguth F
Klinik für Neurologie und Neurophysiologie, Universitätsklinikum Freiburg, Breisacher Str. 64, 79106, Freiburg, Deutschland.
Klinikum Nürnberg, Universitätsklinik, Klinik für Neurologie, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland.
Nervenarzt. 2021 Feb;92(2):169-180. doi: 10.1007/s00115-020-01048-y.
Spinal automatisms and reflexes, peripheral neurogenic and myogenic reactions are common in patients with irreversible brain death. They are therefore compatible and are even understood by experienced investigators as confirmation of irreversible brain death. This article provides an overview of the phenomenology of irreversible brain death and discusses it from a neuropathological perspective. Furthermore, irreversible brain death is described in order to distinguish it from pathological movements and motor reactions in comatose patients or patients with disturbed consciousness due to severe brain disorders.
脊髓自动症和反射、周围神经源性和肌源性反应在不可逆性脑死亡患者中很常见。因此,它们是相符的,甚至被经验丰富的研究人员理解为不可逆性脑死亡的确认依据。本文概述了不可逆性脑死亡的现象学,并从神经病理学角度进行了讨论。此外,对不可逆性脑死亡进行了描述,以将其与昏迷患者或因严重脑部疾病导致意识障碍患者的病理性运动和运动反应区分开来。