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NEUROLOGY 1988;38:227
© 1988 American Academy of Neurology

EEG and brain death determination in children

L. A. Alvarez, MD, S. L. Moshé, MD, A. L. Belman, MD, J. Maytal, MD, T. J. Resnick, MD and M. Keilson, MD

From the Departments of Neurology (Drs. Alvarez, Moshé, and Maytal), and Pediatrics (Dr. Moshé), Albert Einstein College of Medicine, Bronx, NY; the Department of Neurology (Dr. Belman), State University of New York (SUNY), Stony Brook, NY; Miami Children's Hospital (Dr. Resnick), Miami, FL; and Maimonides Hospital (Dr. Keilson), Brooklyn, NY.

In a retrospective study involving several medical centers we identified 52 patients under age 5 years who met the adult clinical criteria for brain death and had at least one EEG with electrocerebral silence. Of the 52 patients, 31 died spontaneously and 21 were disconnected from the respirator. Repeat EEGs were obtained in 28 patients, and in all electrocerebral silence persisted. The study suggests that clinical criteria similar to those used for adults in the determination of brain death can also be applied to children above age 3 months and that a single EEG with electrocerebral silence is sufficient to confirm brain death in this age group.

Address correspondence and reprint requests to Dr. Moshe, Department of EEG, NW3, Montefiore Medical Center, 111 E. 210 Street, Bronx, NY 10467.

Presented in part at the thirty-ninth annual meeting of the American Academy of Neurology, New York, NY, April 1987.

Received March 19, 1987. Accepted for publication in final form May 14, 1987.




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