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Pediatric Brain Death and Organ/Tissue Retrieval pp 165–175Cite as

Role of EEG in Brain Death Determination in Children The Bronx Experience

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Abstract

The cessation of heartbeat and respiration has traditionally been considered the standard by which a person can be declared legally dead. The rapid expansion of medical technology has enhanced our ability to save life and at times to maintain cardiac and respiratory functions in patients that in the past would have failed. The technological progress led to the development of a new standard for the determination of death, namely the cessation of all brain functions (Harvard Medical School, 1968).

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References

  • Allen, N., Burkholdor J., Molinari G., and Comiscioni J., 1980, Clinical criteria of brain death, NINCDS Monog. No. 24, NIH PUbI. No. 81–2286, 77–147.

    Google Scholar 

  • Altman, D. I., Perlman, J. M., Powers, W. J., Herscovitch, P., Dodson, W. E., Raichle, M. E., and Volpe, J. J., 1986, Exuberant brainstem blood flow and intact cerebral blood flow despite clinical and pathological evidence for brainstem and cerebral necrosis in an asphyxiated newborn infant, Ann. Neurol. 20: 409.

    Google Scholar 

  • Alvarez, L. A., Lipton, R. B., and Moshé, S. L., 1987, Normal cerebral radionuclide angiogram and electrocerebral silence in the presence of severe cerebral atrophy, Neuropediatrics 18: 112.

    Article  PubMed  CAS  Google Scholar 

  • Alvarez, L. A., Moshé, S. L., Belman, A. L., Maytal, J., Resnick, T. J., and Kielson, M., 1988, EEG and brain death determination in children, Neurology (NY) 38: 227–230.

    CAS  Google Scholar 

  • Alvarez, L. A., Lipton, R. B., Hirschfeld, A., Salamon, O., and Lantos, G., 1988, Angiography and brain death determination in the setting of a skull defect, Arch. Neurol. 45: 225–227.

    Article  PubMed  CAS  Google Scholar 

  • American EEG Society, 1979, Minimum technical standards for EEG recording in suspected cerebral death, in: Current Practice of Clinical Electroencephalography (D. W. Klass and D. D. Daly, eds.), pp. 492–496, Raven, New York.

    Google Scholar 

  • Arfel, G., and Weiss, J., 1962, Electroencephalogramme et hypothermie profonde, Ann. Chir. Thorac. Cardiovasc. 1: 666–674.

    PubMed  CAS  Google Scholar 

  • Ashwal, S., and Schneider, S., 1979, Failure of electroencephalography to diagnose brain death in comatose children, Ann. Neurol. 6: 512–517.

    Article  PubMed  CAS  Google Scholar 

  • Bennett, D. R., 1980, A review of the electroencephalographic data from the cerebral suryival study, NINCDS Monogr. No. 24, NIH Publ. No. 81–2286, 148–180.

    Google Scholar 

  • Bennett, D. R., Hughes, J. R., Korein, J., and Merlis, J. K., 1976, Atlas of Electroencephalography in Coma and Cerebral Death, Raven, New York.

    Google Scholar 

  • Beresford, H. R., 1984, Severe neurological impairment: legal aspects of decision to reduce care, Ann. Neurol. 15: 409–414.

    Article  PubMed  CAS  Google Scholar 

  • Black, P. M., 1978a, Brain death. I. N. Engl. J. Med. 299: 338–344.

    Article  PubMed  CAS  Google Scholar 

  • Black, P. M., 1978a, Brain death. I. N. Engl. J. Med. 299: 338–344.

    Article  PubMed  CAS  Google Scholar 

  • Blend, M. J., Pavel, D. G., Hughes, J. R., Tan, W. S., Lansky, L. L., and Toffol, G. J., 1986, Normal cerebral radionuclide angiogram in a child with electrocerebral silence, Neuropediatrics. 17: 168–170.

    Article  PubMed  CAS  Google Scholar 

  • Chatrian, G. E., 1980, Electrophysiologic evaluation of brain death: A critical appraisal, in: Electrodiagnosis in Clinical Neurology ( M. J. Aminoff, ed.), pp. 525–588, Churchill Livingstone, New York.

    Google Scholar 

  • De Oliviiera, W. M., De Oliviiera, M. L. J., Pereira, I. E., Epiphanio, E. B., and Valadao, G. C., 1984, Reavaliacao dos criterios clinicos e electrencefalotgraficos de determinacao da morte cerebral na crianca, Arq. Neuropsiquiatr. 42: 25–31.

    Google Scholar 

  • Drake, B., Ashwal, S., and Schneider, S., 1986, Determination of cerebral death in the pediatric intensive care unit, Pediatrics, 78: 107–112.

    PubMed  CAS  Google Scholar 

  • Drury, I., Westmoreland, B. F., and Sharbrough, F. W., 1985, EEG studies in a locked in and locked out state due to severe acute inflammatory polyradiculopathy, in: Proceedings of American EEG Society Meeting, Atlanta: AEEGS, 1985.

    Google Scholar 

  • Engel, R. C. H., 1975, Abnormal Electroencephalograms in the Neonatal Period Charles C. Thomas, Springfield, Illinois.

    Google Scholar 

  • Fischgold, H., and Mathis, P., 1959, Obnubilations, comas et stupeurs, Electroencephalogr. Clin. Neurophysiol. suppl 11.

    Google Scholar 

  • Fisher, E. G., Ames, A., Hedley-White, E. T., and O’Gorman, S., 1977, Reassessment of cerebral capillary changes in acute global ischemica and their relationship to the “no-reflow phenomenon,” Stroke 8: 3639.

    Google Scholar 

  • Green, J. B., and Lauber, A., 1972, Return of EEG activity after electrocerebral silence: Two case reports, J. Neurol. Neurosurg. Psychiatry 35: 103–137.

    Article  PubMed  Google Scholar 

  • Harvard Medical School, 1968, A definition of irreversible coma: report of the Ad Hoc Committee of the Harvard Medical School to examine the definition of brain death, JAMA 205: 337–340.

    Article  Google Scholar 

  • Jorgensen, E. O., 1974, EEG without detectable cortical activity and cranial nerve areflexia as parameters of brain death, Electroencephalogr. Clin. Neurophysiol. 36: 70–75.

    Article  CAS  Google Scholar 

  • Juguilon, A. C. C., and Reilly, E. L., 1982, Development of EEG activity after ten days of electrocerebral inactivity: A case report in a premature neonate-hydranencephaly or massive ventricular enlargement, Clin. Electroencephalogr. 13: 233–239.

    PubMed  CAS  Google Scholar 

  • Langendorf, F. G., Mallin, J. F., Masdeu, J. C., Moshé, S. L., and Lipton R. B., 1986, Fulminant Guillain-Barré syndrome simulating brain death, Electroencephalogr. Clin. Neurophysiol. 64: 74 (abst.).

    Google Scholar 

  • Margolick, D., 1984, New York’s highest court rules life ends when the brain dies, New York Times, (October 31, 1984), p. Al.

    Google Scholar 

  • McGinty, L. K., Valderzant, C. W., Aldrich, M. S., and Sackellares, J. C., 1985, Single EEG in brain death determination, in: Proceedings of American EEG Society Meeting, Atlanta, AEEGS, 1985.

    Google Scholar 

  • Mitchell, O. C., Torre, E., Alexander, E., and Davis, C. H., 1962, The non-filling phenomenon during angiography in acute intracranial hypertension, J. Neurosurg. 19: 766–774.

    Article  PubMed  CAS  Google Scholar 

  • Mizrahi, E. M., Pollack, M. A., and Kellaway, P., 1985, Neocortical death in infants: Behavioral, neurologic, and electroencephalographic characteristics, Pediatr. Neurol. 1: 302–305.

    Article  PubMed  CAS  Google Scholar 

  • Moshé, S. L., and Alvarez, L. A., 1986, Diagnosis of brain death in children, J. Clin. Neurophysiol. 3: 239–249.

    Article  PubMed  Google Scholar 

  • National Collaborative Study, 1977, An appraisal of the criteria of cerebral death: A summary statement, DAMA 237: 982–986.

    Google Scholar 

  • New York State Task Force on Life and the Law, 1986, The determination of death, 1–48.

    Google Scholar 

  • Pampiglione, G., and Harden, A., 1968, Resuscitation after cardiorespiratory arrest, Lancet 1: 1261–1265.

    Article  PubMed  CAS  Google Scholar 

  • Plum, F., and Posner, J. B., 1980, The Diagnosis of Stupor and Coma, FA Davis, Philadelphia.

    Google Scholar 

  • Pawner, D. J., 1976, Drug-associated isoelectric EEGs: A hazard in brain death certification, DAMA 236: 11–23.

    Google Scholar 

  • President’s Commission, 1981, Guidelines for the determination of death: report of the medical consultants on the diagnosis of death to the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, DAMA 246: 2184–2186.

    Google Scholar 

  • Reilly, E. L., Brunberg, J. A., and Doty, D. B., 1974, The effect of deep hypothermia and total circulatory arrest on the electroencephalogram in children, Electroencephalogr. Clin. Neurophysiol, 36: 661–667.

    Article  PubMed  CAS  Google Scholar 

  • Rosenklint, A., and Joorgensen, P. B., 1974, Evaluation of angiographie methods in the diagnosis of brain death. Correlation with local and systemic arterial pressure and intracranial pressure, Neuroradiology 7: 215–219.

    Article  PubMed  CAS  Google Scholar 

  • Schwartz, J. A., Baxter, J., and Brill, D. R., 1984, Diagnosis of brain death in children by radionuclide cerebral imaging, Pediatrics 73: 14–18.

    PubMed  CAS  Google Scholar 

  • Setzer, N., 1985, Brain death: Physiologic definitions, Crit. Care Clin. 1: 375–396.

    PubMed  CAS  Google Scholar 

  • Tharp, B. R., 1980, Neonatal and pediatric electroencephalography, in: Electrodiagnosis in Clinical Neurology ( M. J. Aminoff, ed.), pp. 67–117, Churchill Livingstone, New York.

    Google Scholar 

  • Ventura, M. G., and Masser, P. G., 1985, Defining death: Developments in recent law. Crit. Care Clin. 1: 397–425.

    PubMed  CAS  Google Scholar 

  • Vernon, D. D., and Holzman, B. H., 1986, Brain death: Considerations for pediatrics, J. Clin. Neurophysiol. 3: 251–265.

    Article  PubMed  CAS  Google Scholar 

  • Walker, A. E., 1985, Cerebral Death, Urban & Schwazenber, Baltimore.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Departments of Neurology and Pediatrics, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, 10467, USA

    Solomon L. Moshé

  2. Department of Neurology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, 10467, USA

    Luis A. Alvarez

  3. Bronx Municipal Hospital, Bronx, New York, 10461, USA

    Beverly A. Davidoff (Administration)

Authors
  1. Solomon L. Moshé
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  2. Luis A. Alvarez
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  3. Beverly A. Davidoff
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, West Virginia University Health Sciences Center, 26506, Morgantown, West Virginia, USA

    Howard H. Kaufman M.D.

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© 1989 Plenum Publishing Corporation

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Moshé, S.L., Alvarez, L.A., Davidoff, B.A. (1989). Role of EEG in Brain Death Determination in Children The Bronx Experience . In: Kaufman, H.H. (eds) Pediatric Brain Death and Organ/Tissue Retrieval. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5532-8_18

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  • DOI: https://doi.org/10.1007/978-1-4684-5532-8_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5534-2

  • Online ISBN: 978-1-4684-5532-8

  • eBook Packages: Springer Book Archive

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