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Dr. Andrew Rynne

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Can Person Having Constant Seizures Under Heavy Sedation Be Brain Dead?

my brother is in icu and has had serveral constant sezuries for about 24 hours before it was checked. he is heavely seditated. dr say mucles are working in the brain had many different answer no one can give an answer wheither he is brain dead or not

Fri, 5 Sep 2014
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Diabetologist 's  Response
Hi, welcome to our site. I am Dr Saumya Mittal, MD.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

The concept of brain death needs some very specific features.The problem with brain death is that almost every feature that is supposed to be in favor of brain death can also be caused by another cause. So no one single sign can be confirmatory of brain death.

besides, seizures also happen due to more than one cause. There may be a structural brain lesion, there may be a severe infection (sepsis), there may be sevre metabolic derangements (again of many types). And once a seizure happens, the patient may become unresponsive for a long period of time, say even upto 72 hours. The physical signs can infact mimic brain damage.

I will always suggest at least an EEG if I was to declare a patient as possibly having brain death, I will suggest the same to you.
Besides with heavy sedation, it is difficult to say whether there is brain death, or is it a part of the injections.

I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
Consultant Physician and Diabetologist
JS Hospital
Ex Apollo Hospital, Delhi
Ex Kailash Hospital, Noida
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Can Person Having Constant Seizures Under Heavy Sedation Be Brain Dead?

Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query The concept of brain death needs some very specific features.The problem with brain death is that almost every feature that is supposed to be in favor of brain death can also be caused by another cause. So no one single sign can be confirmatory of brain death. besides, seizures also happen due to more than one cause. There may be a structural brain lesion, there may be a severe infection (sepsis), there may be sevre metabolic derangements (again of many types). And once a seizure happens, the patient may become unresponsive for a long period of time, say even upto 72 hours. The physical signs can infact mimic brain damage. I will always suggest at least an EEG if I was to declare a patient as possibly having brain death, I will suggest the same to you. Besides with heavy sedation, it is difficult to say whether there is brain death, or is it a part of the injections. I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) Consultant Physician and Diabetologist JS Hospital Ex Apollo Hospital, Delhi Ex Kailash Hospital, Noida