Haupt W F
Nervenarzt. 1986 Mar;57(3):145-8.
The origin of spontaneous myogenic activity during the registration of isoelectric EEGs for documentation of total brain death has not yet been explained. In nine patients with total brain death, completely abolished acoustic evoked brainstem potentials (AEP), somatosensory evoked potentials (SEP) as well as electrically evoked blink-reflexes (BR) were demonstrated. The peripheral conduction capacity of the facial nerve, however, was never impaired. These findings suggest that peripheral nerve function may be well preserved although brain stem activity is completely abolished and therefore support the thesis that the myogenic activity in cranial muscles in total brain death is not mediated by the brain stem but is of extracerebral origin.
在记录全脑死亡的等电位脑电图期间,自发性肌源性活动的起源尚未得到解释。在9例全脑死亡患者中,证实听觉诱发性脑干电位(AEP)、体感诱发电位(SEP)以及电诱发眨眼反射(BR)完全消失。然而,面神经的外周传导能力从未受损。这些发现表明,尽管脑干活动完全消失,但外周神经功能可能保存良好,因此支持以下论点:全脑死亡时颅肌中的肌源性活动不是由脑干介导的,而是起源于脑外。