Critical Care and Shock

Is my patient really brain dead?

The diagnosis of brain death can be fraught with multiple challenges ranging from the presence of complex motor movements to inappropriate patient screening, e.g. patient’s not meeting preconditions.
We describe two cases where complex motor movements persisted following clinical death by standard brain death criteria and caused uncertainty with regards to diagnosis of brain death.
We wish to highlight that complex motor movements are common and do not always preclude the diagnosis of brain death.

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