A Case of a Child Who Developed Cushing Reflex after a Clinical Diagnosis of Brain Death

• Enoki Hideo

  Department of Child Neurology, Mitsubishi Mizushima Hospital

Bibliographic Information

Other Title

• 臨床的脳死判定後にＣｕｓｈｉｎｇ現象を認めた幼児例

Abstract

The author presents a case of brain death caused by salmonella encephalopathy in a 1-year-old girl. Thepatient suffered from fever, convulsive status, and coma. On the 5th day, her respiration was arrested. At that time, we confirmed the absence of brainstem reflexes. An electroencephalogram (EEG) showed a flat pattern. Only wave I was recordable in auditory brainstem responses (ABR). On the 6th day, we obtained a flat EEG and a disappearance of all components of ABR. A simultaneous elevation of her heart rate and blood pressure was observed 14 to 18 hours after the respiratory arrest. This phenomenon was equivalent to the Cushing reflex, which represents an autoregulation against increased intracranial pressure. Our case suggested that the activity of a part of the brainstem was preserved in spite of the absence of activities in EEG, ABR and brainstem reflexes at 14 hours after the onset of apnea.

Journal

• NO TO HATATSU

  NO TO HATATSU 39 (1), 27-31, 2007

  THE JAPANESE SOCIETY OF CHILD NEUROLOGY

Keywords

• 小児
• 脳死判定
• サルモネラ脳症
• Cushing現象
• 聴性脳幹反応

Details

• CRID: 1390001204554231168
• NII Article ID: 130004183825
• NII Article ID: 10018714388
• NII Book ID: AN0020232X
• DOI: 10.11251/ojjscn1969.39.27
• ISSN: 18847668
• ISSN: 00290831
• Web Site: https://search.jamas.or.jp/link/ui/2007118453
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed