Brain trauma: cause-consequence connection problems.
Despite sophisticated equipment like computerized tomography, in some cases doctors have a problem with the diagnostic procedure in relation to patients with serious injuries of the central nervous system (CNS). There may be no clinical signs of disorders of the CNS, or other evidence of difficulties, but diffuse axonal lesions and demyelinisation processes often exist. This type of lesion is a special pathomorphological entity, known as the syndrome of patient who talks and dies. Macroscopical and microscopical findings are poor and rare, especially in the hours immediately following the injury. The main findings are not evidential and the problem is the explanation of sudden death from unknown causes. The following studies are based on human tissue analyses. They are based on the analyses of the CNS of patients who suffered from brain trauma. The specimens from the brain stem were taken in order to perform histological, microscopic analysis. Percentage value of surface of myelin for the control group was X1 38.62% for HE technique and X1 33.46% for Gomory's method. The value for the test group was X2 16.12% for HE technique and X2 13% for Gomory's technique. Statistical probability for both groups was 95% (P < 0.05; T = 14.9). Application of these procedures helps legal authorities to make trials more objective.
Institute of Forensic Medicine, Yugoslavia.
G
G
Stojiljkovic
M
M
Tasic
B
B
Budakov
M
M
Simic
Z
Z
Budimlija
D000293:Adolescent; D000328:Adult; D001344:Autopsy / Q000379:methods*; D001930:Brain Injuries / Q000150:complications / Q000473:pathology*; D001933:Brain Stem / Q000473:pathology*; D016022:Case-Control Studies; D003645:Death, Sudden / Q000209:etiology* / Q000473:pathology; D003711:Demyelinating Diseases / Q000473:pathology; D003720:Densitometry; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged