The Neuro Exam
Critical Matters
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Assessing Comatose Patients: Reflexes and Brain Death Criteria
This chapter explores the evaluation of patients in a coma, focusing on the importance of brainstem reflexes over cortical functions. It highlights the techniques for assessing primitive reflexes, particularly the Babinski reflex, and discusses the neural mechanisms and implications for brain death evaluation. The chapter provides a structured approach to conducting brain death assessments, emphasizing common pitfalls and the significance of methodical testing.
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