Lazarus sign is a reflexive movement seen after or near brain death (BD) w/ arms raising & dropping to chest. It’s essential to know all the reflexes seen with BD to provide realistic expectations to families. 🧵 #neuroscience#brain#CriticalCare
50% of brain dead patients demonstrate spontaneous, reflexive movements. The most common movements are finger jerks, undulating toe flexion sign, triple flexion response, pronation-extension reflex, and facial myokymia.
Do not confuse these reflexive movements with recovery, improved prognosis, or volitional movements, and educate families about their lack of clinical significance. @DL_Hollywood
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This… is why I became a #neurosurgeon and what rehabilitative specialties love to do.
Source: ESPN. The key of spine surgery and rehabilitative efforts is collaborating with our patients to achieve functional independence in the presence and in the absence of any neurological recovery.
I look forward to further advances and applications of brain computer interface, spinal cord stimulation, neural prosthesis, exoskeletons, nerve transfers, and things we don’t know of yet… for assisting patients with spinal cord injuries.
48 y.o. underwent an urgent abdominal surgery. Postop, his family said he did not have a red left side face before surgery, what'd you to him? Work Up? Etiologies? Treatment?
It’s not harlequin, but good idea.
DM Me on any / all cases and I’ll give you answers and the treatment on your timeline.