Duvuru Shyam, Sanker Vivek, Mishra Rajeeb Kumar, Sharma Arvind K, Lim Shir Lynn, Baskar Nisha, Sharma Vijay K
Apollo Specialty Hospital, Madurai, India.
National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.
Front Neurol. 2025 Jan 7;15:1491263. doi: 10.3389/fneur.2024.1491263. eCollection 2024.
Ancillary tests are often used in the determination of death by neurologic criteria (DNC), especially when the clinical examination is inconclusive. DNC is widely accepted, as defined by the comprehensive report of the World Brain Death Project. However, there are several medical, legal, religious, ethical, and social controversies. Accordingly, "premature" and "delayed" diagnoses of brain death attract these issues.
Depending upon the availability and experience of the managing medical teams, various ancillary tests are employed for an early and supplementary diagnosis of brain death.
We describe the practicality, test performance, and utility of some of the commonly employed ancillary tests for the diagnosis of brain death in clinical practice, along with their case examples.
Brain death is a clinical diagnosis determined by history, physical examination, and adherence to recommended criteria. All ancillary investigations are used as supplementary tests with variable accuracy parameters. These ancillary tests often facilitate an early and "timely" diagnosis of brain death.
辅助检查常用于依据神经学标准判定死亡（DNC），尤其是在临床检查结果不明确时。如世界脑死亡项目综合报告所定义，DNC已被广泛接受。然而，存在一些医学、法律、宗教、伦理和社会方面的争议。因此，脑死亡的“过早”和“延迟”诊断引发了这些问题。
根据管理医疗团队的可及性和经验，采用各种辅助检查对脑死亡进行早期和补充诊断。
我们描述了临床实践中一些常用辅助检查用于诊断脑死亡的实用性、检测性能和效用，并列举了病例实例。
脑死亡是一种由病史、体格检查及遵循推荐标准所确定的临床诊断。所有辅助检查都用作具有不同准确性参数的补充检查。这些辅助检查常常有助于脑死亡的早期和“及时”诊断。
