A rare spinal reflex in brain death: Bilateral plantar flexion in nuchal rigidity examination

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dc.authoridDeniz, Mustafa/0000-0002-1243-3028en_US
dc.authorscopusid57799077100en_US
dc.authorscopusid57284192200en_US
dc.authorscopusid16303722500en_US
dc.authorwosidDeniz, Mustafa/HKM-7902-2023en_US
dc.contributor.authorDeniz, Mustafa
dc.contributor.authorYabalak, Ahmet
dc.contributor.authorDinler, Kahraman
dc.date.accessioned2024-08-23T16:03:24Z
dc.date.available2024-08-23T16:03:24Z
dc.date.issued2023en_US
dc.departmentDüzce Üniversitesien_US
dc.description.abstractA 74-year-old female patient, who developed a hypoxic brain injury after cardiopulmonary arrest, was diagnosed with brain death on the 4th day of the clinical onset depending on the absence of brainstem reflexes and the intracranial blood circulation in magnetic resonance angiography, and positive apnea test. Bilateral plantar flexion response to the neck flexion was observed while lifting the head for the examination of oculocephalic reflex during the in-service nurse training. The plantar flexion response was observed every time the neck flexion was performed. This finding was interpreted primarily in favor of spinal reflex and the repeated brain death tests confirmed the diagnosis. Regarding the literature, spinal reflexes may emerge in patients with brain death and plantar flexion is among the most common reflexes. These reflexes are usually observed following painful stimuli, during the apnea test or when the patient is taken off the mechanical ventilation. Although the nuchal rigidity examination is not included in the routine diagnosis procedure of brain death, in this paper we report bilateral plantar flexion as a response to the neck flexion in a patient with brain death in the light of the studies found in the literature. We conclude that the introduction of the above-mentioned examination to the diagnosis of brain death will contribute to the improvement of the diagnosis procedure and prevent delays in the preparation of the potential donors.en_US
dc.identifier.doi10.54029/2023dke
dc.identifier.endpage235en_US
dc.identifier.issn1823-6138
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85153524650en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage233en_US
dc.identifier.urihttps://doi.org/10.54029/2023dke
dc.identifier.urihttps://hdl.handle.net/20.500.12684/13728
dc.identifier.volume28en_US
dc.identifier.wosWOS:000960957000027en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAsean Neurological Assocen_US
dc.relation.ispartofNeurology Asiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBrain deathen_US
dc.subjectspinal reflexen_US
dc.subjectapnea testen_US
dc.subjectmagnetic resonance angiographyen_US
dc.titleA rare spinal reflex in brain death: Bilateral plantar flexion in nuchal rigidity examinationen_US
dc.typeArticleen_US

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