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Reflex movements in patients with brain death: A prospective study in a tertiary medical center

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Authors
Han, Suk-Geun; Lee, Kwang Ho; Chung, Chin-Sang; Jung, Ki-Young; Kim, Gyeong-Moon
Issue Date
2006-06
Publisher
Korean Academy of Medical Sciences
Citation
Journal of Korean Medical Science, Vol.21 No.3, pp. 588-590
Keywords
의약학Brain DeathReflexAbnormalOrgan Transplantation
Abstract
Reflex movements have been reported to occur in up to 75% of brain-dead patients, but this issue has not been addressed in Korea. The patients admitted to our hospital who met the criteria for brain death were enrolled between March 2003 and February 2005. The frequency and type of reflex movements in these patients were evaluated prospectively using a standardized protocol. Brain death was determined according to the guideline of Korean Medical Association. Of 26 patients who were included, five (19.2%) exhibited reflex movements such as the pronation-extension reflex, abdominal reflex, flexion reflex, the Lazarus sign, and periodic leg movements. This finding suggests that the frequency of spinal reflex movements is not rare and the awareness of these movements may prevent delays in brain-dead diagnosis and misinterpretations.
ISSN
1011-8934
Language
English
URI
http://hdl.handle.net/10371/91757
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Neurology (신경과학교실)Journal Papers (저널논문_신경과학교실)
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