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自1959年Mollaret和Golon的首次描述以来,过深昏迷及随后脑死亡的概念已经建立。一些医学的、伦理的、法律的、哲学的以及宗教的考虑导致提出严格的诊断标准。一些最初已被国际公认的标准包括自发性动作和反射的消失。随后又承认起源于脊髓的反射的出现与脑死亡的诊断无关。1981年《医学观察报告》是作者们所掌握的最新修定标准。然而对在脑死亡状态下能够存在的“功能及反射”的类型依然不明确。作者报道两例脑死亡状态下所观察到的复杂而不常见的自动症,表现为当实施快速而持久的屈颈时上肢出现缓慢而复杂的运动,包括前臂外展、肘屈曲、带动腕及指的屈曲。持续5～10秒钟。并可重复诱发但逐渐衰减。有时是不对称或单侧的,合并或不合并下肢屈髓或屈膝动作的存在。
The concept of deep coma and subsequent brain death has been established since Mollaret and Golon’s first description in 1959. Some medical, ethical, legal, philosophical, and religious considerations led to the introduction of rigorous diagnostic criteria. Some of the initially internationally accepted standards include the disappearance of spontaneous movements and reflections. It was subsequently admitted that the appearance of reflexes originating in the spinal cord had nothing to do with the diagnosis of brain death. The 1981 Medical Observations Report is the latest revised standard by the authors. However, the types of “functional and reflexive” that can exist in the state of brain death remain unclear. The authors report two complex and infrequent autoimmune conditions observed in brain death characterized by slow and complex movements of the upper extremities during rapid and long-lasting flexion, including forearm abduction, elbow flexion, wrist and finger motions The flexion. Lasts 5 to 10 seconds. And can be repeatedly induced but gradually decay. Sometimes asymmetrical or unilateral, with or without lower extremity flexion or knees.