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A Clinical Definition

Thomas W. Rowland, MD; Joseph H. Donnelly, MD; Anthony H. Jackson, MD; Susan B. Jamroz, RN

Am J Dis Child. 1983;137(6):547-550.

Abstract
• The establishment of criteria for brain death is important for decision making in the treatment of critically ill patients. Our experience involving 15 children with coma, apnea, and absent brain-stem reflexes for a period of greater than three days supports previous reports in adults that the diagnosis of brain death can be made by clinical criteria alone. None of these patients survived, and each of the 11 autopsies performed revealed marked liquefactive necrosis in the brain.

(Am J Dis Child 1983;137:547-550)

Author Affiliations
From the Departments of Pediatrics (Drs Rowland, Donnelly, and Jackson) and Nursing (Ms Jamroz), Baystate Medical Center, Springfield, Mass.

Footnotes
Reprint requests to Department of Pediatrics, Baystate Medical Center, 759 Chestnut St, Springfield, MA 01107 (Dr Rowland).

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