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In our case, a postmortem brain examination was not performed.
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All brain examinations were performed on a 3.0-Tesla MRI (Achieva; Philips Medical Systems, Best, the Netherlands).
All brain examinations were performed on 3.0 Tesla MRI (Achieva; Philips Medical Systems, Best, the Netherlands).
For each patient in group I, the specific timing of the first and second brain death examinations was recorded.
Neurological examination was normal; brain MRI and blood tests did not show any abnormality.
Neurological examination was normal, but brain MRI showed an acute thalamic stroke (Fig 1D).
A post-mortem examination was carried out and his brain was removed but not replaced.
MRI of the brain and neurological examination were normal.
CT scan of the brain and neurologic examination were less sensitive than NSE in predicting a poor outcome.
We suggest that when a patient presents with a TCH an expanded assessment with MRI of the brain should be ordered to rule out a cerebral infarct, even when neurological examination, brain CT, and CSF examination are normal as in our case.
Brain MRI examinations were performed with 3.0-T scanners (Siemens Magnetom Verio, Munich, Berlin and Erlangen, Germany: Patients 1 and 3; Philips Achieva, Amsterdam, the Netherlands: Patient 2).
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