Brain death

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

High speed MVA. Right internal carotid dissection with extensive infarct. Fixed dilated pupils.

Patient Data

Age: 30 years
Gender: Female

99mTC

Nuclear medicine

RADIOPHARMACEUTICAL: 99mTc ECD, 810 MBq QC 91%

Dynamic perfusion study, SPECT/CT studies were obtained. The study shows no perfusion to the cerebral hemisphere or brain stem. There is perfusion noted to the scalp.

IMPRESSION: The Tc 99m ECD cerebral perfusion study is consistent with brain death.​

Case Discussion

This case demonstrates no tracer (99mTc-ethyl cysteinate dimer (99mTc-ECD)) uptake in both cerebral hemispheres and the posterior fossa confirming the previously clinical suspicion of brain death

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