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February 1977

Severely Brain Damaged

Author Affiliations

Cleveland Clinic 9500 Euclid Ave Cleveland, OH 44106
The Institutes of Medical Sciences San Francisco, CA 94120

Arch Neurol. 1977;34(2):133. doi:10.1001/archneur.1977.00500140087026

To the Editor.—  Professor Jennett's editorial, "Resource Allocation for the Severely Brain Damaged" (Arch Neurol 33:595, 1976), is very timely. I would like only to make one point. I have found it helpful in dealing with this problem, for instance in the case of a wife, to tell the husband, "Your wife is dead. This is only her body. It can be kept alive indefinitely by artificial means, but I am sure this is not what she would have wanted."

To the Editor.—  The report by Medina et al (Arch Neurol 33:587, 1976) of myokymia resulting from peripheral nerve injury merits further comment. I have never been confident of a qualitative distinction between fasciculation and myokymia. If one acknowledges that they possess some essential characteristics in common, and thus might represent different parts of a spectrum of involuntary motor unit activity, then a better example to indicate a peripheral origin

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