CỬ ĐỘNG TRONG BỆNH NHÂN CHẾT NÃO: THÔNG BÁO LÂM SÀNG VÀ ĐIỂM LẠI Y VĂN

Abstract

Introduction: Spontaneous or reflex movements in brain-dead patients — which do not reflect any cerebral activity — can confuse healthcare staff and relatives and hinder organ donation programmes. Recognizing and properly explaining the nature of these movements is essential. Case presentation: We describe the movement phenomena observed in patients declared brain-dead according to the Vietnamese Ministry of Health criteria (Decision 32/2007/QĐ-BYT). Movements included limb flexion reflexes, the Lazarus sign and short spontaneous movements, all occurring after both clinical and paraclinical criteria for brain death had been met.

Conclusion: Movements in brain-dead patients originate from the spinal cord, do not invalidate the diagnosis of brain death, and should be recognized to avoid confusion in clinical practice and during organ donation and transplantation.