Abstract

We read with interest the Contemporary Issues by Lewis et al.1 Previously, Dr. Bernat defended the whole-brain concept of brain death (BD),2 and the US President's Commission recommended its adoption by all US states.3 In 2015, Wijdicks stated, “the irreversible absence of functions of the brainstem is the necessary and sufficient component of brain death.”4 This view fully pertains to brainstem death, and not to the whole-brain criterion.5 The American Academy of Neurology summit concluded that “BD is defined by irreversible loss of consciousness and brainstem function,” according to the whole-brain criterion.1

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