Department of Renal Transplant Surgery, PGIMER, Chandigarh, India.
Department of Radiology, PGIMER, Chandigarh, India.
Neurol India. 2022 May-Jun;70(3):1162-1165. doi: 10.4103/0028-3886.349609.
The determination of Brain Death (BD)/Death by neurological criteria (DNC) is now widely accepted among various international societies following the World Brain Death project recommendation. As per the World Brain Death project, ancillary testing should be performed when standard brain-death examination components are inconclusive or cannot be performed. BD was defined legally in 1994 under the Transplantation of Human Organs Act (THOA). However, even after 27 years of the formulated law, there are no guidelines in the THOA regarding the determination of BD using ancillary tests. The present brief report describes two instances where ancillary tests like four-vessel angiography and transcranial doppler-aided brain-death certification were done. It is the first available literature from our country where ancillary tests aided in confirmation of BD when the standard clinical components of DNC could not be performed.
脑死亡（BD）/神经标准死亡（DNC）的确定现在已被广泛接受，这是遵循世界脑死亡项目建议的结果。根据世界脑死亡项目的建议，当标准脑死亡检查结果不确定或无法进行时，应进行辅助检查。BD 于 1994 年在《人体器官移植法》（THOA）下被合法定义。然而，即使在制定该法律 27 年后，THOA 中也没有关于使用辅助检查来确定 BD 的指南。本简要报告描述了两次使用辅助检查（如四血管血管造影和经颅多普勒辅助脑死亡认证）的情况。这是我国首次提供的文献，其中当 DNC 的标准临床检查无法进行时，辅助检查有助于确认 BD。
