PT - JOURNAL ARTICLE AU - Ogata, J AU - Imakita, M AU - Yutani, C AU - Miyamoto, S AU - Kikuchi, H TI - Primary brainstem death: a clinico-pathological study. AID - 10.1136/jnnp.51.5.646 DP - 1988 May 01 TA - Journal of Neurology, Neurosurgery & Psychiatry PG - 646--650 VI - 51 IP - 5 4099 - http://jnnp.bmj.com/content/51/5/646.short 4100 - http://jnnp.bmj.com/content/51/5/646.full SO - J Neurol Neurosurg Psychiatry1988 May 01; 51 AB - A case of primary brainstem death in a man with surgically treated cerebellar haemorrhage is reported. Necropsy revealed extensive necrosis confined to the brainstem and cerebellum. The absence of diabetes insipidus and the persistence of electroencephalographic activity were the characteristic clinical features of the case. This differentiates the condition from so-called "whole brain death". Analysis of three further cases with acute vascular lesions of the brainstem or cerebellum, shown at necropsy, revealed that primary brainstem death with prolonged somatic survival can occur in specific circumstances after surgical intervension.