{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T07:51:59Z","timestamp":1753861919232,"version":"3.41.2"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T00:00:00Z","timestamp":1713916800000},"content-version":"vor","delay-in-days":114,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite the possible occurrence of spontaneous movements during an apnea test, respiratory\u2010like movements are rare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 51\u2010year\u2010old man was transferred to our hospital when a sudden disturbance of consciousness developed into cardiac arrest. After spontaneous circulation returned, we diagnosed bilateral cerebellar hemorrhage. He remained comatose with dilated pupils, absent brainstem reflexes, spontaneous breathing, and electrocerebral activity. After being considered brain dead, his family opted for organ donation. The first legal brain death examination on day 5 was aborted because of respiratory\u2010like movements mimicking repetitive abdominal respiration during the apnea test. However, an enhanced magnetic resonance image of the head indicated no blood flow and somatosensory evoked potential testing revealed no brain\u2010derived potentials.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Respiratory\u2010like movements can occur during the apnea test in patients considered brain dead. Further research is required to understand this phenomenon.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.959","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T05:24:36Z","timestamp":1714022676000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Respiratory\u2010like movements during an apnea test"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1839-3443","authenticated-orcid":false,"given":"Shinichi","family":"Kida","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isao","family":"Nagata","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuhiro","family":"Takei","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Yoshizawa","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taketo","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Yokohama City Minato Red Cross Hospital  Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,24]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"jotnw.or.jp [Internet].Manual on the Legal Determination of Brain Death [updated Mar 2011; cited 2023 Aug 3]. Available from:https:\/\/www.jotnw.or.jp\/files\/page\/medical\/manual\/doc\/noushi\u2010hantei.pdf"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.58.1.20"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000207740"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S031716710000651X"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2020.35.e71"},{"key":"e_1_2_9_7_1","first-page":"1081","article-title":"Lazarus' sign and respiratory\u2010like movement in a patient with brain death","volume":"40","author":"Urasaki E","year":"1988","journal-title":"No To Shinkei"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1981.55.6.0942"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-8993(80)80034-5"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0034-5687(77)90001-9"}],"container-title":["Acute Medicine &amp; Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.959","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T10:47:05Z","timestamp":1735555625000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.959"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/ams2.959"],"URL":"https:\/\/doi.org\/10.1002\/ams2.959","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"type":"print","value":"2052-8817"},{"type":"electronic","value":"2052-8817"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-12-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e959"}}