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  • 1
    Electronic Resource
    Electronic Resource
    Un Cas de Leucoencéphalopathie Anoxique Post-Anesthésique (1973)
    Springer
    Acta neuropathologica 25 (1973), S. 237-243 
    Details
    ISSN: 1432-0533
    Keywords: Myelinopathy ; Leukoencephalopathy ; Anoxia ; Anesthesia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary After a left mastoïdectomy, a six-year-old child remains deeply comatose and dies twelve days later. The anaesthetic used was ether. The pathological findings included completely demyelinated areas, often sharply outlined, in the cerebral white matter and typical anoxic necrosis of the cerebral cortex and of the Sommer sector in the cornu Ammonis. Seven cases of post-anaesthetic leucoencephalopathies previously published are briefly recalled.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00685203
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Fulminant Guillain-Barré syndrome mimicking cerebral death: case report and literature review (2000)
    Springer
    Intensive care medicine 26 (2000), S. 623-627 
    Details
    ISSN: 1432-1238
    Keywords: Key words Guillain-Barré syndrome ; Autonomic neuropathy ; Axonopathy ; Demyelination ; Brain death ; Inexcitable nerves
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 45-year-old woman was admitted to the intensive care unit (ICU) for respiratory arrest. One day prior to admission, she had been nauseated and in a state of total exhaustion. On the night of admission she was unresponsive and developed gasping respiration. The patient was comatose with absent brainstem reflexes and appeared brain dead. Blood chemistry findings and brain magnetic resonance imaging were normal. Electroencephalogram revealed an alpha rhythmical activity unresponsive to painful or visual stimuli. The cerebrospinal fluid showed an albuminocytological dissociation. Guillain-Barré syndrome (GBS) was suspected. The electrophysiological evaluation revealed an inexcitability of all nerves. The pathological findings of the sural nerve biopsy indicated an axonal degeneration secondary to severe demyelination. GBS can very rarely present with coma and absent brainstem reflexes. This case illustrates the importance of electrophysiological tests and laboratory and imaging studies in patients with suspected brain death where a cause is not clearly determined.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001340051213
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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