[Lazarus' sign and respiratory-like movement in a @entity1 with XXXX ].

@entity1 @entity548 @entity510 @entity772 @entity4668 @entity5300 @entity1620 @entity1167 @entity386
In the diagnosis of @entity1620 , it is generally accepted that respiratory function has to be absent, however, spinal reflexes can be preserved. We presented a @entity1 who showed a complex movements of upper limbs (Lazarus' sign) and respiratory like movement during the @entity386 test for the determination of @entity1620 . This 72-year old female admitted to our hospital in a semicomatous state due to severe @entity510 . Her conscious level suddenly deteriorated to deep @entity772 because of second @entity548 on the same day. She became @entity386 and no brain stem reflexes elicited. Three days later, electrophysiological examination revealed a flat recording of electroencephalography, absence of auditory evoked potentials and no response of blink reflex. Short latency somatosensory evoked potentials obtained by median nerve stimulation showed the presence of @entity5300 and spinal N13-P 13 components originating from cervical dorsal horn, however, the scalp @entity4668 generated by cervico-medullary junction was absent. This @entity1 fulfilled all other criteria for @entity1620 . Four days after, an @entity386 test was performed. Spontaneous movements of both upper limbs were observed starting between 7 and 8 minutes after disconnecting the intubation tube from the ventilator. Both arms flexed at the elbow, abducted and elevated from the bed. Then, both hands were brought up to chest. Wrist and fingers were in a neutral position (Lazarus' sign). Simultaneously, shallow and irregular respiration like movements were recognized. These movements ceased immediately after connecting the respirator. These two types of movements were reproducible except for in the final test. Blood pressure gradually decreased, and @entity1167 occurred one hour after.(ABSTRACT TRUNCATED AT 250 WORDS)
