Fischer C
Service d'épileptologie et de neurologie fonctionnelle, hôpital neurologique, Lyon, France.
Neurophysiol Clin. 1997 Nov;27(5):373-82. doi: 10.1016/s0987-7053(97)88803-x.
Scientific and modern conception of brain-death is rather recent, thus making possible organ transplantations. During the past three decades clinical criteria for brain-death have been defined. Electroencephalography (EEG) appears to be a complementary tool as it permits brain-death assessment. In France laws enforced respectively in 1968, 1978, 1991 and 1996 provide a framework for brain-death evaluation before organ transplantation and include EEG recording. Advantages and pitfalls of EEG in the diagnosis of brain-death are considered as this technique may be unreliable. Only evoked potential recordings can allow assessment and confirmation of brain stem death, which is a mandatory criterion. We recommend simultaneous EEG and either brain stem auditory or somatosensory evoked potential recordings to strengthen clinical criteria of brain-death and definitely prove it using objective electrophysiological criteria.
科学且现代的脑死亡概念出现得相当晚，这才使得器官移植成为可能。在过去三十年里，脑死亡的临床标准得以明确。脑电图（EEG）似乎是一种辅助工具，因为它可用于脑死亡评估。在法国，1968年、1978年、1991年和1996年分别实施的法律为器官移植前的脑死亡评估提供了框架，其中包括脑电图记录。由于该技术可能不可靠，因此探讨了脑电图在脑死亡诊断中的优缺点。只有诱发电位记录能够评估并确认脑干死亡，而脑干死亡是一项强制性标准。我们建议同时进行脑电图以及脑干听觉或体感诱发电位记录，以强化脑死亡的临床标准，并使用客观的电生理标准明确证实脑死亡。
