{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:37:24Z","timestamp":1777729044714,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T00:00:00Z","timestamp":1551916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Intensive Care Society"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>The neurological determination of death in patients with isolated brainstem lesions or by disruption of the posterior cerebral circulation is uncommon and many intensivists may never see such a case in their career. It is also the only major difference between the \u201cwhole brain\u201d and \u201cbrain stem\u201d formulations for the neurological determination of death. We present a case of a patient with infarction of the structures supplied by the posterior cerebral circulation in whom death was diagnosed using neurological criteria, to illustrate the issues involved. We also suggest that international consensus may be achieved if ancillary tests, such as CT angiography, are made mandatory in this situation o demonstrate loss of blood flow in the anterior cerebral circulation as well the posterior circulation.<\/jats:p>","DOI":"10.1177\/1751143719832169","type":"journal-article","created":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T08:18:48Z","timestamp":1551946728000},"page":"269-273","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Neurological determination of death in isolated brainstem lesions: A case report to highlight the issues involved"],"prefix":"10.1177","volume":"21","author":[{"given":"Alex","family":"Manara","sequence":"first","affiliation":[{"name":"The Intensive Care Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panayiotis","family":"Varelas","sequence":"additional","affiliation":[{"name":"Department of Neurology, Henry Ford Hospital, Detroit, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Smith","sequence":"additional","affiliation":[{"name":"National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,3,7]]},"reference":[{"key":"bibr1-1751143719832169","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awr282"},{"key":"bibr2-1751143719832169","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1547534"},{"key":"bibr3-1751143719832169","first-page":"103","volume":"35","author":"Wijdicks EF","year":"2016","journal-title":"Semin Neurol"},{"key":"bibr4-1751143719832169","unstructured":"Academy of Medical Royal Colleges. A code of practice for the diagnosis and confirmation death, 2008, http:\/\/aomrc.org.uk\/wp-content\/uploads\/2016\/04\/Code_Practice_Confirmation_Diagnosis_Death_1008-4.pdf (accessed 22 August 2018)."},{"key":"bibr5-1751143719832169","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-017-0442-3"},{"key":"bibr6-1751143719832169","unstructured":"NHS Blood and Transplant. Potential donor audit, http:\/\/www.odt.nhs.uk\/statistics-and-reports\/potential-donor-audit\/ (accessed 22 August 2018)."},{"key":"bibr7-1751143719832169","unstructured":"NHS Blood and Transplant. Organ Donation and Transplantation Activity Report 2016\/17, https:\/\/nhsbtdbe.blob.core.windows.net\/umbraco-assets-corp\/4657\/activity_report_2016_17.pdf (accessed 22 August 2018)."},{"key":"bibr8-1751143719832169","unstructured":"Gardiner D and Manara A. Form for the diagnosis of death using neurological criteria. Full guidance version, https:\/\/www.ficm.ac.uk\/sites\/default\/files\/Form%20for%20the%20Diagnosis%20of%20Death%20using%20Neurological%20Criteria%20-%20Full%20Version%20%282014%29.pdf (2014, accessed 22 August 2018)."},{"key":"bibr9-1751143719832169","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-014-9997-4"},{"key":"bibr10-1751143719832169","first-page":"Cd009694","volume":"3","author":"Taylor T","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr11-1751143719832169","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-013-1210-5"},{"key":"bibr12-1751143719832169","doi-asserted-by":"publisher","DOI":"10.1007\/s00062-017-0631-7"},{"key":"bibr13-1751143719832169","unstructured":"The President's council on bioethics. 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