Robert F, Mumenthaler M
Schweiz Med Wochenschr. 1977 Mar 12;107(10):335-41.
In 45 patients without spontaneous breathing or cranial reflexes, and in whom blood pressure had to be supported, spinal reflexes were obtained in 60% and polysynaptic spinal reflexes in 33%. In all cases angiography showed cerebral circulatory arrest and/or repeated EEG recording gave an isoelectric line. The presence of spinal reflexes, appearing most frequently 6-36 h after death (which we defined as a sudden fall in blood pressure below 80 mm Hg with absence of spontaneous breathing) is not in contradiction with the assumption of brain death. 9 patients without signs of intoxication showed, in addition, a fall in body temperature below 34 degrees C. Such a fall in body temperature also in agreement with the diagnosis of brain death.
在45例无自主呼吸或颅反射且需要维持血压的患者中，60%出现脊髓反射，33%出现多突触脊髓反射。所有病例血管造影均显示脑循环停止和/或多次脑电图记录呈等电位线。脊髓反射最常出现在死亡后6 - 36小时（我们将死亡定义为血压突然降至80 mmHg以下且无自主呼吸），这与脑死亡的假设并不矛盾。另外，9例无中毒迹象的患者体温降至34摄氏度以下。体温下降也与脑死亡的诊断相符。
