Short-latency somatosensory evoked potentials in brain-dead patients

Electroencephalogr Clin Neurophysiol. 1987 Jan;68(1):75-8. doi: 10.1016/0168-5597(87)90072-4.

Abstract

Ten adult brain-dead patients were evaluated for the presence of clearly defined median nerve short-latency somatosensory evoked potentials (SSEPs). All met clinical criteria recommended by the President's Commission report (1981), had positive apnea tests, and had electrocerebral silent EEGs. P13-P14 and N20 were absent in all scalp-scalp channels, although 3 patients showed P13-P14 in scalp-non-cephalic channels. Of 6 patients showing N13, 3 lacked P13-P14. Our data suggest a characteristic destruction of N20 and rostral P13-P14 generators, with variable rostral-caudal loss of lower generators. SSEPs can provide valuable information about brain-stem activity in the evaluation of suspected brain-dead patients.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Brain Death*
  • Evoked Potentials, Somatosensory*
  • Humans
  • Median Nerve / physiology
  • Middle Aged
  • Reaction Time