A critique on the concept of "brain death".
Since the concept of "brain death" was introduced in medical terminology, enough evidence has come to light to show that the concept is based on an unclear and incoherent theory. The "brain death" concept suffers by internal inconsistencies in both the tests-criterion and the criterion-definition relationships. It is also evident that there are residual vegetative functions in "brain dead" patients. Since the content of consciousness is inaccessible in these patients who are in a profound coma, the diagnosis of "brain death" is based on an unproved hypothesis. A critical evaluation of the role and the limitations of the confirmatory tests in the diagnosis of "brain death" is attempted. Finally it is pointed out that a holistic approach to the problem of "brain death" in humans should necessarily include the inspection of the content of consciousness.
Karakatsanis
K G
KG
Medical School, Aristotle University of Thessaloniki, Greece.
Tsanakas
J N
JN
D001921:Brain / Q000098:blood supply; D001926:Brain Death / Q000175:diagnosis / Q000503:physiopathology; D004569:Electroencephalography; D005072:Evoked Potentials, Auditory; D005073:Evoked Potentials, Somatosensory; D006694:Holistic Health; D006801:Humans; D018458:Persistent Vegetative State / Q000503:physiopathology; D012039:Regional Blood Flow; D017585:Ultrasonography, Doppler, Transcranial; D014474:Unconsciousness / Q000503:physiopathology