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Which one of the following is not compatible with the diagnosis of brain death?

A. Eyes fully open
B. Absence of corneal reflexes
C. Presence of oculovestibular reflexes
D. Spontaneous activity seen on EEG
E. Large, fixed pupils

User Gbabu
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1 Answer

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Final answer:

The presence of oculovestibular reflexes is not compatible with the diagnosis of brain death as it indicates some brainstem function, contrary to the absence of brain activity expected in brain death.

Step-by-step explanation:

The option that is not compatible with the diagnosis of brain death is C. Presence of oculovestibular reflexes. Brain death is a clinical diagnosis characterized by the absence of brain activity, which means that no reflexes that would indicate any brain function should be present. Options A (Eyes fully open), B (Absence of corneal reflexes), D (Spontaneous activity seen on EEG), and E (Large, fixed pupils) can be associated with brain death; however, the presence of oculovestibular reflexes suggests some retained brainstem function, which is inconsistent with the diagnosis of brain death. This reflex involves the movement of the eyes in response to changes in head position and is mediated by the vestibulocochlear nerve (cranial nerve VIII) and its connection with the ocular muscles through cranial nerves III, IV, and VI.

User Avery Freeman
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