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Research ArticleBrain

CT Perfusion for Confirmation of Brain Death

J.J.S. Shankar and R. Vandorpe
American Journal of Neuroradiology June 2013, 34 (6) 1175-1179; DOI: https://doi.org/10.3174/ajnr.A3376
J.J.S. Shankar
aFrom Department of Diagnostic Imaging, Division of Neuroradiology, QE II Hospital, Halifax, Nova Scotia, Canada.
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R. Vandorpe
aFrom Department of Diagnostic Imaging, Division of Neuroradiology, QE II Hospital, Halifax, Nova Scotia, Canada.
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    Fig 1.

    Different phases of CTA images in a 63-year-old man who had intracranial hemorrhage after tPA treatment for a thrombosed iliac stent show opacification of cortical branches of the MCA, A2 segment of the ACA (A), and the ICV and VOG (E). CTP images show a matched defect in the brain stem and cerebellum on CBF (B–D) and CBV (F–H) maps. The perfusion was preserved in the supratentorial compartment.

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    Fig 2.

    Different phases of CTA images in a 23-year-old woman who had hemorrhagic shock and cardiac arrest following a perforated innominate vein during central line insertion show opacification of the cortical branches of the MCA, A2 segment of the ACA (A), and the ICV and VOG (E). CTP images show a matched defect only in the brain stem on CBF (B–D) and CBV (F–H) maps. The perfusion was preserved in the cerebellum and supratentorial compartment.

Tables

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  • Patient characteristics

    No.Age (yr)SexDiagnosisCTACTPaDelay (h)b4-Point Scale7-Point Scale
    START MCAL MCAR ACAL ACAR ICVL ICVVOG
    146FSAH7/1711111111111
    246MICH6/1611111111811
    363MICH9/17000000015.500
    448MICH8/18111111119.511
    556FSAH, ICH, and IVH7/1511111111111
    648MSDH, ICH8/22111111114.4511
    757FSAH, IVH, and ICH8/16111111116.3011
    868FCollapsed after left occipital nerve block8/22111111117011
    952MSAH, IVH, and ICH4/22111111113.1511
    1023MSAH, ICH8/22000011112410
    1123FHemorrhagic shock and cardiac arrest6/21000000017200
    • Note:—L indicates left; R, right; ICH, intracerebral hemorrhage; IVH, intraventricular hemorrhage; SDH, subdural hemorrhage.

    • ↵a CBF- and CBV-matched defect in the brain stem.

    • ↵b Time delay between CTA and the final declaration of brain death.

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American Journal of Neuroradiology: 34 (6)
American Journal of Neuroradiology
Vol. 34, Issue 6
1 Jun 2013
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Cite this article
J.J.S. Shankar, R. Vandorpe
CT Perfusion for Confirmation of Brain Death
American Journal of Neuroradiology Jun 2013, 34 (6) 1175-1179; DOI: 10.3174/ajnr.A3376

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CT Perfusion for Confirmation of Brain Death
J.J.S. Shankar, R. Vandorpe
American Journal of Neuroradiology Jun 2013, 34 (6) 1175-1179; DOI: 10.3174/ajnr.A3376
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