Response to Letter to the Editor

We thank Drs. Lewis and Greer for their detailed comments and for highlighting the work of the World Brain Death Project, WBDP.1 Their view that our patient's findings preclude a determination of death by neurologic criteria (BD/DNC) is the view we supported.2 On the other hand, this determination would have been consistent with the American Academy of Neurology AAN 2010 standard for BD/DNC with coma, absence of brainstem reflexes, and apnea.3 Our patient had no reflexive eye movements in response to vestibular reflex testing and even no eye movements to vertical oculocephalic reflex; this is akin to Shulgman's case, where pupils did not reflexively react but spontaneously constricted and dilated.

Source: Journal of Stroke and Cerebrovascular Diseases - October 10, 2020 Category: Neurology Authors: Deema Fattal, Gregory Schmidt Source Type: research