X-Message-Number: 9130
Date: Sat, 07 Feb 1998 02:58:05 -0800
From: Jan Coetzee <>
Subject: Brain death
References: <>

Brain-Dead Man Reportedly Revived After
Stroke

[Medical Tribune: Internist & Cardiologist Edition 38(12): 1997. © 1997 Jobson
Healthcare Group]



BOSTON--A man who Oregon University doctors believed was clinically brain dead
from a stroke
is now back operating a tractor and running a farm.


Researchers used the experimental treatment urokinase to dissolve a blood clot 
in
the man's basilar
artery.


Reporting at the annual meeting of the American Academy of Neurology (AAN), 
Wayne
Clark,

M.D., said that even after administering the therapy he still thought he would 
be
discussing organ
donation with the family of the 41-year-old Hispanic farmer.


"Instead I was talking to them about rehabilitation," said Dr. Clark, director 
of
the Oregon Stroke
Center in Portland.

Within 24 hours of the urokinase treatment, the man was conscious, alert and
moving all his limbs,
Dr. Clark said. After three months, he was walking and living at home.

"He has trouble seeing to one side and he walks with a cane, but he's a rancher
and he's back doing

what ranchers do," eight months after urokinase was administered to dissolve the
clot and restore
healthy blood flow to the brain, Dr. Clark said.


Steven Ringel, M.D., a professor of neurology at the University of Colorado 
Health
Science Center
in Denver, and president of the AAN, applauded the success but said many
neurologists would
dispute Dr. Clark's description that the patient was actually "brain dead." Dr.
Ringel said brain death
implies the man could not breathe on his own, but in this case, the patient was
able to do that when
treatment was tried.


"He failed every test of brain death we gave him, but we didn't administer all 
the
tests," Dr. Clark
said. He added that there was no eye movement after stimulation with intense
light, and no response
to cold water or pain. --E.S.

Brain-Dead Man Reportedly Revived After
Stroke

[Medical Tribune: Internist & Cardiologist Edition 38(12): 1997. © 1997 Jobson
Healthcare Group]



BOSTON--A man who Oregon University doctors believed was clinically brain dead
from a stroke
is now back operating a tractor and running a farm.


Researchers used the experimental treatment urokinase to dissolve a blood clot 
in
the man's basilar
artery.


Reporting at the annual meeting of the American Academy of Neurology (AAN), 
Wayne
Clark,

M.D., said that even after administering the therapy he still thought he would 
be
discussing organ
donation with the family of the 41-year-old Hispanic farmer.


"Instead I was talking to them about rehabilitation," said Dr. Clark, director 
of
the Oregon Stroke
Center in Portland.

Within 24 hours of the urokinase treatment, the man was conscious, alert and
moving all his limbs,
Dr. Clark said. After three months, he was walking and living at home.

"He has trouble seeing to one side and he walks with a cane, but he's a rancher
and he's back doing

what ranchers do," eight months after urokinase was administered to dissolve the
clot and restore
healthy blood flow to the brain, Dr. Clark said.


Steven Ringel, M.D., a professor of neurology at the University of Colorado 
Health
Science Center
in Denver, and president of the AAN, applauded the success but said many
neurologists would
dispute Dr. Clark's description that the patient was actually "brain dead." Dr.
Ringel said brain death
implies the man could not breathe on his own, but in this case, the patient was
able to do that when
treatment was tried.


"He failed every test of brain death we gave him, but we didn't administer all 
the
tests," Dr. Clark
said. He added that there was no eye movement after stimulation with intense
light, and no response
to cold water or pain. --E.S.

Brain-Dead Man Reportedly Revived After
Stroke

[Medical Tribune: Internist & Cardiologist Edition 38(12): 1997. © 1997 Jobson
Healthcare Group]



BOSTON--A man who Oregon University doctors believed was clinically brain dead
from a stroke
is now back operating a tractor and running a farm.


Researchers used the experimental treatment urokinase to dissolve a blood clot 
in
the man's basilar
artery.


Reporting at the annual meeting of the American Academy of Neurology (AAN), 
Wayne
Clark,

M.D., said that even after administering the therapy he still thought he would 
be
discussing organ
donation with the family of the 41-year-old Hispanic farmer.


"Instead I was talking to them about rehabilitation," said Dr. Clark, director 
of
the Oregon Stroke
Center in Portland.

Within 24 hours of the urokinase treatment, the man was conscious, alert and
moving all his limbs,
Dr. Clark said. After three months, he was walking and living at home.

"He has trouble seeing to one side and he walks with a cane, but he's a rancher
and he's back doing

what ranchers do," eight months after urokinase was administered to dissolve the
clot and restore
healthy blood flow to the brain, Dr. Clark said.


Steven Ringel, M.D., a professor of neurology at the University of Colorado 
Health
Science Center
in Denver, and president of the AAN, applauded the success but said many
neurologists would
dispute Dr. Clark's description that the patient was actually "brain dead." Dr.
Ringel said brain death
implies the man could not breathe on his own, but in this case, the patient was
able to do that when
treatment was tried.


"He failed every test of brain death we gave him, but we didn't administer all 
the
tests," Dr. Clark
said. He added that there was no eye movement after stimulation with intense
light, and no response
to cold water or pain. --E.S.

Brain-Dead Man Reportedly Revived After
Stroke

[Medical Tribune: Internist & Cardiologist Edition 38(12): 1997. © 1997 Jobson
Healthcare Group]



BOSTON--A man who Oregon University doctors believed was clinically brain dead
from a stroke
is now back operating a tractor and running a farm.


Researchers used the experimental treatment urokinase to dissolve a blood clot 
in
the man's basilar
artery.


Reporting at the annual meeting of the American Academy of Neurology (AAN), 
Wayne
Clark,

M.D., said that even after administering the therapy he still thought he would 
be
discussing organ
donation with the family of the 41-year-old Hispanic farmer.


"Instead I was talking to them about rehabilitation," said Dr. Clark, director 
of
the Oregon Stroke
Center in Portland.

Within 24 hours of the urokinase treatment, the man was conscious, alert and
moving all his limbs,
Dr. Clark said. After three months, he was walking and living at home.

"He has trouble seeing to one side and he walks with a cane, but he's a rancher
and he's back doing

what ranchers do," eight months after urokinase was administered to dissolve the
clot and restore
healthy blood flow to the brain, Dr. Clark said.


Steven Ringel, M.D., a professor of neurology at the University of Colorado 
Health
Science Center
in Denver, and president of the AAN, applauded the success but said many
neurologists would
dispute Dr. Clark's description that the patient was actually "brain dead." Dr.
Ringel said brain death
implies the man could not breathe on his own, but in this case, the patient was
able to do that when
treatment was tried.


"He failed every test of brain death we gave him, but we didn't administer all 
the
tests," Dr. Clark
said. He added that there was no eye movement after stimulation with intense
light, and no response
to cold water or pain. --E.S.

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