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Aaron J. Friedman, MD
Department of Psychiatry and Neurology Naval Aerospace Medical Institute Naval Air Station Pensacola, FL 32506

Arch Neurol. 1984;41(1):15.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—The diagnosis of cerebral brain death has become more standardized through the acceptance of certain sets of criteria. Plum and Posner¹ summarized these different criteria, all of which, except for those of Harvard Medical School,² allow for spinal reflexes. My colleagues and I recently observed a case involving partial spinal reflex, however, that initially called into question the diagnosis of brain death.

Report of a Case.

—A 57-year-old man underwent a left-sided nephrectomy for removal of a tumor. Complications during surgery caused several prolonged periods of hypotension in the range of 60 mm Hg and 40 mm Hg of systolic pressure. On transfer to the intensive care unit, the patient was comatose and required high doses of epinephrine to maintain his BP. Twenty-four hours after surgery, he was still comatose. His pupils were fixed at midposition. Neurologic examination results showed a patient on a respirator . . . [Full Text PDF of this Article]

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