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NEUROLOGY 2004;62:652-653
© 2004 American Academy of Neurology
Brief Communications

Computed tomographic angiography for diagnosis of brain death

Adnan I. Qureshi, MD, Jawad F. Kirmani, MD, Andrew R. Xavier, MD and Amir M. Siddiqui, MD

From the Department of Neurosurgery (Dr. Qureshi), School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY; and Department of Neurology and Neurosciences (Drs. Qureshi, Kirmani, Xavier, and Siddiqui), University of Medicine and Dentistry of New Jersey, Newark, NJ.

Address correspondence and reprint requests to Dr. Adnan I. Qureshi, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey, 90 Bergen Street, DOC- 8100, Newark, NJ 07103; e-mail: aiqureshi{at}hotmail.com

The authors report two patients with suspected brain death who required confirmatory tests other than clinical examination because of prolonged barbiturate administration for intracranial hypertension. Absence of intracranial blood flow was documented on CT angiography and confirmed by CT perfusion images. Cerebral angiography confirmed the findings consistent with brain death. CT angiography with CT perfusion may represent a rapid noninvasive method for diagnosis of brain death.

Received June 19, 2003. Accepted in final form October 6, 2003.




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