JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v6i4.2571 jpsim.v6i4.2571 Case Report Factors Affecting Acceptance of the Diagnosis of Death by Neurological Criteria Al-Majmoai Feras firasalmajmoei@gmail.com * Abouelela Amr Halim Nashat Abdel Elfeky Islam Nassef Mohamed Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU) - Dubai Health, Dubai, UAE *Correspondence: Feras Al-Majmoai (firasalmajmoei@gmail.com) 21 11 2025 2025 6 4 380 381 21 05 2025 23 08 2025 10 11 2025 Copyright © 2025 The Author(s) 2025 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Death by Neurological criteria is approved in the UAE. The Legalizing infrastructure supporting regional transplantation updated the process in UAE receiving special care to confront refusal of the family affecting the donation rate. We present a case to explore aspects of refusal of diagnosis of brain death in 20-year-old male diagnosed with brain death after sudden cardiac arrest. However, the family refused the diagnosis due to traditional beliefs related to culture rather than religion. Institutions across the UAE need to deal with this subject by increasing awareness regarding guidelines to diagnose brain death, withdrawal of life support and to conduct forums, including concerned authorities to reach the public society.

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