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Determination of brain death via pulsatile echoencephalography.

For cerebral death to occur there must be many levels of cerebral function destroyed. Cortical and subcortical irreversible damage is evident by unresponsiveness to any stimuli. Brain stem and basal ganglia damage is indicated by absence of spontaneous respirations, cephalic reflexes, and thus cerebral circulation. All elements of the criteria for cerebral death must be met. The decision should be made by the attending physician in consultation with his peers. The life support mechanisms should be discontinued after the diagnosis of cerebral death has been made. Absence of pulsatile echoes means absence of cerebral circulation and cerebral function, or a definitive diagnosis of cerebral death. It is a final parameter in the criteria and allows definite measures to be taken. But it behooves one to remember that this phenomenon of cerebral death makes organ donation and transplantation possible. It has not been created in order to supply the needs for organ transplant!

Adult↗

Two dimensional echoencephalography during the neurosurgical operations.

The authors describe the use of two dimensional ultrasonic image in time of neurosurgical operations. After craniotomy it is possible by means of B-scan to localise the brain pathology, to measure its depth from the brain surface as well as to plan the surgical strategy. The safety of this examination, its simplicity and immediate working results are stressed. This examination is recommended for all operations in intracranial space, because it enables the best possible orientation of the surgeon.

Adolescent↗