Eeg guidelines in the diagnosis of brain death

Szurhaj, William; Lamblin, M. -D.; Kaminska, Anna; Sediri, H.

Document type :

Article dans une revue scientifique: Article de synthèse/Review paper

DOI :

10.1016/j.neucli.2014.11.005

PMID :

25687591

Permalink :

http://hdl.handle.net/20.500.12210/15896

Title :

Eeg guidelines in the diagnosis of brain death

Author(s) :

Szurhaj, William [Auteur]

Troubles cognitifs dégénératifs et vasculaires - U1171
Troubles cognitifs dégénératifs et vasculaires - U 1171 - EA 1046 [TCDV]
Lamblin, M. -D. [Auteur]
Kaminska, Anna [Auteur]
Sediri, H. [Auteur]

Journal title :

Neurophysiologie clinique = Clinical neurophysiology

Abbreviated title :

Neurophysiol. Clin.-Clin. Neurophysiol.

Volume number :

Pages :

97-104

Publication date :

2015-03-01

ISSN :

0987-7053

English keyword(s) :

Recommendations
Electroencephalography
EEG
Brain death
Technical aspects

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

In France, for the determination and diagnostic validation of brain death the law requires either two EEG recordings separated by a 4-hour observation period, both showing electrocerebral inactivity; or cerebral angiography ...
Show more >In France, for the determination and diagnostic validation of brain death the law requires either two EEG recordings separated by a 4-hour observation period, both showing electrocerebral inactivity; or cerebral angiography examination. Since EEG is available in most hospitals and clinics, it is often used in this indication, at the patient's bedside, especially in the context of organ donation. However, very precise methodology must be followed. The last French guidelines date back to 1989, before the development of digital EEG recording. We present the new guidelines from the Société de Neurophysiologie Clinique de Langue Française. Electrocerebral inactivity may be confirmed when a 30-minute good quality EEG recording shows complete electrocerebral silence, defined as no cerebral activity greater than 2 uV, having first ruled out the possible influence of sedative drugs, metabolic disorders or hypothermia. In the presence of sedative drugs, CT brain angiography will be the gold standard test for this diagnosis. In the newborn, the utmost caution is indicated since electrocerebral inactivity can be observed in the absence of cerebral death. In the infant, the criterion for the observation period to be respected between both EEG recordings needs to be more clearly refined.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
CNRS
Inserm
Université de Lille

Collections :

Lille Neurosciences & Cognition (LilNCog) - U 1172

Research team(s) :

Troubles cognitifs dégénératifs et vasculaires

Submission date :

2019-11-27T13:02:08Z

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