Doctors: Ex-North Korea detainee Otto Warmbier has severe brain injury

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"He shows no signs of understanding language or responding to verbal commands", he said. USA doctors said they found no evidence of active botulism, a rare, serious illness caused by contaminated food or a dirty wound.

In online marketing materials, Young Pioneer Tours describes North Korea as a country with excellent beer and fascinating sites, though they warn that customers can not travel alone and must always be accompanied by guides. The earliest images of his brain they received from North Korea are dated April 2016, Kanter said.

"We have no certifiable knowledge of the cause or circumstances of his neurological injuries", Kanter said.

"This pattern of brain injury is usually seen as result of cardiopulmonary arrest where blood supply to (the) brain is inadequate for a period of time, resulting in the death of brain tissue".

"I call on them to release the other Americans being held", he urged, referring to three United States citizens still in North Korea.

They were told - but did not believe - that shortly after the trial that Warmbier contracted botulism and was given a sleeping pill and that he had never recovered.

Warmbier's father Fred lashed out earlier Thursday at the North Korean regime, saying he did not believe its claim that his son contracted botulism and fell into a coma shortly after being arrested previous year.

The charge against Otto, according to North Korean news agency, was "perpetrating a hostile act against" the Democratic People's Republic of Korea - the official name for the reclusive Communist nation.

"There are three other Americans now being held in North Korea".

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He described his son as a "young, thrill-seeking, great kid" who was "lure [d]" by North Korea through groups like this.

"A quick calculation shows that 15 (communist) party and government organs, 73 other firms and entities and about 90 individuals of the DPRK are now placed on the sanctions list, together with 16 airplanes and 20 trade cargo ships, but hardly any of them are associated with munitions area at all", the ministry said in the English-language statement carried by the official news agency KCNA. Company founder Gareth Johnson told VICE in an interview later that year that he could not discuss Warmbier's situation out of respect for his family.

(AP Photo/John Minchillo). Fred Warmbier, father of Otto Warmbier, a University of Virginia undergraduate student who was imprisoned in North Korea in March 2016, speaks during a news conference, Thursday, June 15, 2017, at Wyoming High School in Cinci.

"It appears to be exotic to go to the country, but it's all staged", he says.

He was arrested for trying to steal an item bearing a propaganda slogan, North Korean media reported. The Swedes, who represent USA interests in North Korea, managed to visit him in March 2016, a few weeks before he was sentenced to 15 years hard labor. Late Tuesday, the Gulfstream jet touched down in Cincinnati, and his family finally got to see him, before medical personnel carried him off the plane into an ambulance. Although Fred Warmbier was relieved to have his son home, he criticized the Obama administration for keeping his family in the dark, and failing to secure his son's freedom. As Warmbier's imprisonment over a poster shows, North Korea "imposes unduly harsh sentences for actions that would not be considered crimes in the United States", the Department of State warns would-be tourists.

On Thursday, the State Department said that its special envoy on North Korea, Joseph Yun, who negotiated Warmbier's release during a visit to the country this week, had also met with three other U.S. citizens being held in North Korea.

Fred Warmbier, wearing the jacket his son wore to his March 2016 trial in North Korea, gave a news conference in Cincinnati, Ohio just a few days after his son arrived home in a coma.

Dr Kanter added that there was "no evidence" of North Korea's claim that he had been suffering from botulism. However, doctors in the US have found no signs of botulism, but have asserted that Otto has lost a massive amount of brain tissue.

The North Korean government claims that Warmbier's condition resulted from taking a sleeping pill after suffering botulism, but his family and doctors cast doubt on that scenario.

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