Brain Death: A Reappraisal by C. Machado

By C. Machado

This textual content offers an summary of the strategies of mind loss of life, exploring the techniques and ancient method of human dying, medical examinations of brain-dead sufferers, ancillary exams in coma and mind loss of life, bioethical discussions of mind demise and its dating with a few awareness disturbances, and the criminal concerns of human dying. not like different, narrow-focus reference this publication features a extensive spectrum of concerns together with scientific, felony, bioethical and historic aspects.

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10. Definition of human death. ) Botkin and Post drew an interesting distinction between major and minor clusters of attributes related to life. 17,18,22,26,84–87,90,93,94,98,99,123,124,278–282,284,285,327 Therefore, the best candidate for the critical ‘major attribute’ of human life is consciousness: that is to say, without consciousness life loses most or all of its value for us. Consequently, I completely agree with higher brain advocates when considering that consciousness renders the most significant human attributes.

Used DBS in “apallic” or “coma vigil” cases (PVS patients), stimulating the reticular formation in the thalamus and in the pallidum. 197,198 Sturm et al. reported the use of DBS at the thalamic level, in a case with probable dysfunction of the mesencephalic reticular formation due to the rupture of a sacular aneurysm at the tip of the basilar artery. 200,201 Katayama et al. also applied DBS in the mesencephalic reticular formation and/or thalamic center median-parafascicular (CM-pf) complex in PVS cases, with a follow-up of patients during 10 years.

188 P1: GFZ SVNY315-Machado 40 January 25, 2007 17:59 3. Conceptual Approach to Human Death on Neurological Grounds It seems that the brain operates in “parallel processing,” because cortical regions are linked in networks parallel with each other and with subcortical structures. 6 consciousness generation is based on substantial interconnections among the brainstem, subcortical structures and the cerebral cortex. 157,193 This author also commented that two hydranencephalic patients (“prenatal destruction of the cerebral hemispheres with intact skull and scalp”) unquestionably manifested conscious behavior.

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