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August 2003

Routine Insonation of the Transorbital Window for Confirming Brain Death: a Double-Edged Sword

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Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003

Arch Neurol. 2003;60(8):1169. doi:10.1001/archneur.60.8.1169-a

Lampl et al1 correctly state that an inadequate transtemporal window may falsely indicate no blood flow, especially in older women, thus decreasing the sensitivity of transcranial Doppler (TCD) in confirming brain death. They suggest that the routine additional use of the transorbital approach when using TCD to confirm brain death increases the efficacy of the examination.

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