J Korean Neurol Assoc > Volume 26(1); 2008 > Article
Journal of the Korean Neurological Association 2008;26(1): 42-45.
뇌사 환자에서 시행한 뇌 자기공명 검사 3예 -마취용 Mapleson 순환-F 장치의 유용성-
박지윤, 김태웅 오형근 양광익 박형국 노학재 정두신
순천향대학교 의과대학 신경과학교실
The Brain-MR Studies in the Brain Death Patient: Report of 3 Cases -The Utility of the Anesthetic Mapleson Circuit-F System-
Ji-Yun Park
Department of Neurology College of Medicine Soonchunhyang University, Cheonan, Korea
Abstract
Brain-MR studies are sensitive to intracranial ischemia and vascular flow. However, brain MR study for brain death is clinically limited because keeping the ventilation is difficult during study. In our hospital, three ‘brain death patients’ brain-MR studies were performed under the anesthetic Mapleson’s circuit-F system. Three patients’ clinical states were not changed after the studies. We confirmed that brain herniation, absent intracranial flow void, no intracranial contrast enhancement, poor gray/white matter differentiation, and prominent nasal enhancement findings. The value of brain-MR study for brain death may be possible.KeyWords:Brain death, Brain-MR study, Mapleson’s circuit-F (Jackson-Knee circuit, non-rebreathing technique) system
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