Girl brain dead part deux - page 35

As soon as the original thread was closed the following appeared on facebook... A letter from Nailah; It has been over a month since I have spoken about my life with Jahi to anyone outside a... Read More

  1. by   JustBeachyNurse
    I've seen the same involuntary movement in a teen with a C2-5 complete SCI ( fracture with chord severed post injury at C4/5) that is over a decade old. Sometimes random sometimes in response to external stimulus such as a splint.

    So IMHO not in response to mom's thoughts voice no matter how much she thinks that's the case.

    And since when is an adolescent psychologist with experience in adolescent behavior disorders and some extreme autism qualified to order, perform and interpret an EEG. Likely not accounting for interference from the ventilator.
  2. by   ArmaniX
    Just curious if any one else has been following the news. I saw it posted on the most reliable site in the world today (facebook) and apparently there the little girl Jahi who was in the news a year ago with the family fighting to keep her alive after being pronounced brain dead is now showing brain activity per MRI and is following two very basic commands.

    Thoughts? I just find it strange and curious. A simple google search shows several articles and news reports on the case as well as the video posted by family.
  3. by   wtbcrna
    Withdrawal reflex - Wikipedia, the free encyclopedia The report I saw states a response to ice on the feet. It is just a spinal reflex.
  4. by   JustBeachyNurse
    I have a client with a decade old complete c3/4/5 spinal cord injury who has the same random reflex movements especially if there is a splint or object in the hand. The frequency & interval is somewhat random. Client is cognitively intact and speaks articulately. Calls it a trick. Likes to do it to wary new nurses to freak them out. Definitely not on command has a similar twitch of the phalanges before a more gross involvement of the limb.

    There is a long existing thread on AN where an experienced PICU nurse offers insight to the MRI (most of the cranium is full of CSF with visible infarcts, empty sella ( lack of pituitary) and absent corpus collosum.
  5. by   caroladybelle
    There is a thread on here that has been continued since she had the surgery.

    My question, exactly how does an MRI show brain activity per the OP? Please explain this to me.
  6. by   NotReady4PrimeTime
    By this point in time it may be possible for her mother to predict when she'll have these involuntary movements so that they can be caught by cellphone camera. It's also impossible from this video to see what might be happening on the other side of her body. The first movements appear to be clonic, meaning abnormal rapid involuntary jerking movements that can be elicited through forcible flexion or extension of a joint. I see clonus of my son's right lower leg whenever I stretch his heel cord to put his ankle-foot orthosis on. The second episode of movement looks to me like a type of myoclonic posturing seen in people with severe brain injuries and is caused by abrupt position changes. Even something as simple as lifting an arm or leg will cause what looks like a jack-knifing movement. (Nurses who have spent any time caring for patients with spastic quadriplegia will recognize these phenomena.) Neither of these types of movement are normal, conscious, voluntary or controllable. Show me the whole bed space and the whole person over a period of time.
    Last edit by NotReady4PrimeTime on Oct 9, '14
  7. by   JustBeachyNurse
    Quote from NotReady4PrimeTime
    By this point in time it may be possible for her mother to predict when she'll have these involuntary movements so that they can be caught by cellphone camera. It's also impossible from this video to see what might be happening on the other side of her body. The first movements appear to be clonic, meaning abnormal rapid involuntary jerking movements that can be elicited through forcible flexion or extension of a joint. I see clonus of my son't right lower leg whenever I stretch his heel cord to put his ankle-foot orthosis on. The second episode of movement looks to me like a type of myoclonic posturing seen in people with severe brain injuries and is caused by abrupt position changes. Even something as simple as lifting an arm or leg will cause what looks like a jack-knifing movement. (Nurses who have spent any time caring for patients with spastic quadriplegia will recognize these phenomena.) Neither of these types of movement are normal, conscious, voluntary or controllable. Show me the whole bed space and the whole person over a period of time.
    I've seen this in a SCI patient and spastic quad CP kiddos. Big difference my patients are awake, alert, vocalize or verbal and aside from the SCI patient have some purposeful but spastic movement. Only my SCI patient is trach/vent due to level of injury but kiddo likes to direct cars
  8. by   ArmaniX
    Quote from caroladybelle
    There is a thread on here that has been continued since she had the surgery.

    My question, exactly how does an MRI show brain activity per the OP? Please explain this to me.
    I've found the thread, thank you! Mods can merge/close this thread if they'd like there's really no point in two discussions on the same topic. I just found it strange and was thinking also that it was some sort of twitch and not a real command. The MRI interpretation on here is amazing.
  9. by   Cryptogenic
    Exactly. Appearing to be heavily retouched
  10. by   sirI
    Threads merged.
  11. by   TheGooch
    Here's the MRI-someone on the Team Jahi-a family in denial had this to say about it.

    structurally it could be her and it appears that the tonsils are gone. what is more important is it appears the the brain stem has become mostly degraded, the brain it's self has shrunk considerably. The cerebellum looks like it might be calcified and the corpus callosum is missing.

  12. by   Cryptogenic
    To: NotReady4PrimeTime

    IMO- Your interpretation and summation of the MRI image is brilliant! Your knowledge on those findings is very impressive. Thank you for posting that information.
    P.S. There are some others on a different forum who had the opportunity to read your excellent post, and share my opinion as well.
  13. by   OrganizedChaos
    Who do they think they are trying to fool? Her death certificate won't be reversed because they have some "medical professionals" that say she isn't brain dead.

    Not only does that request sound ridiculous but I'm sure the coroner would request an unaffiliated neurologist to look at Jahi like CHO did. Not the random doctors the lawyer picked up.

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