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Year : 2002  |  Volume : 50  |  Issue : 2  |  Page : 233

Intracranial carotid occlusion in brain death (neuroimage).


Department of Neurosurgery, Sundaram Medical Foundation, Anna Nagar, Chennai, 600040, India.

Correspondence Address:
Department of Neurosurgery, Sundaram Medical Foundation, Anna Nagar, Chennai, 600040, India.



How to cite this article:
Ganapathy K, Rajaram R, Daniel J R. Intracranial carotid occlusion in brain death (neuroimage). Neurol India 2002;50:233


How to cite this URL:
Ganapathy K, Rajaram R, Daniel J R. Intracranial carotid occlusion in brain death (neuroimage). Neurol India [serial online] 2002 [cited 2020 Feb 27];50:233. Available from: http://www.neurologyindia.com/text.asp?2002/50/2/233/1375



A 20 year old male was brought to the emergency in a deeply unconscious stage, decerebrating with a GCS of 3 and right pupil dilated. A few hours earlier, he had developed severe headache for the first time. CT showed large multiple areas of hemorrhage with isodense areas within, in the right temporoparietal region [Figure - 1]. As parents insisted on further management, a selective right internal carotid angio was planned. As the right common carotid was being entered, both pupils dilated. Injection in the right common carotid artery revealed a carotid stop with no dye entering the intracranial region beyond the base of the skull [Figure - 2]. The external carotid vessels were clearly visualized. By this time, the patient had all clinical features suggestive of brain death. Failure of blood to enter the intracranial circulation when intracranial pressure exceeds systemic arterial blood pressure, though described[1],[2] has rarely been demonstrated.
 

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1.Bradac G, Simon S : Angiography in brain death. Neuroradiology 1974; 7 : 25-28.   Back to cited text no. 1    
2.Greitz T, Gordon E, Kolmodin G et al : Aorto-cranial and carotid angiography in determination of brain death. Neuroradiology 1973;5 : 13-19.   Back to cited text no. 2    

 

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