[Method of autopsy study of thalamus and basal nuclei].

Q4 Medicine
A S Konakov, Yu S Brikova, E M Koludarova
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引用次数: 0

Abstract

Thalamus and basal nuclei are deep structures of the brain which play a crucial role in regulating consciousness level. Traumatic injuries in them occur in craniocerebral injury (CCI), post-traumatic alterations - at the 2nd stage of dislocation syndrome. Non-traumatic hemorrhages are most often located in these structures. The existing methods of the brain autopsy study have not been effective enough for their focused detailed examination.

Objective: To develop the rational and effective method of thalamus and basal nuclei autopsy examination for identification of pathomorphological changes and their characteristics.

Material and methods: The brain of 42 males and 31 females aged 18-65 years who died due to CCI at different times of post-traumatic period, as well as 22 males and 25 females aged 35-68 years who died due to various causes of non-violent death, was examined according to autopsy data. The cases were divided into 2 groups for study of the thalamus and basal nuclei: in the 1st group (69 observations) the brain was examined by traditional methods (Virchow, Pitre, Fisher), in the 2nd group (51 observations) - by own developed method.

Results: In the 1st study group hemorrhages in thalamus were found in 15% of cases, in basal nuclei - in 12%, in the 2nd group -hemorrhages in thalamus were identified in 32%, in basal nuclei - in 21% of observations. The application of newly developed method of thalamus and basal nuclei autopsy examination has shown its advisability and efficacy.

Conclusion: The method of autopsy study of the thalamus and basal nuclei has been developed and proposed for practice that will allow to increase the objectivity and evidence of forensic medical examination of the corpse.

[丘脑和基底核的解剖研究方法]。
丘脑和基底核是大脑的深层结构,在调节意识水平方面起着至关重要的作用。他们的创伤性损伤发生在颅脑损伤(CCI),创伤后改变-在脱位综合征的第二阶段。非创伤性出血通常位于这些结构。现有的脑解剖研究方法还不够有效,无法进行集中细致的检查。目的:建立合理有效的丘脑和基底核解剖检查方法,鉴别病理形态学变化及其特征。材料与方法:根据尸检资料,对创伤后不同时期因CCI死亡的42例男性、31例女性(18 ~ 65岁)和因各种原因非暴力死亡的22例男性、25例女性(35 ~ 68岁)进行脑检。将病例分为两组进行丘脑和基底核的研究:第一组(69例)采用传统方法(Virchow, Pitre, Fisher)检查大脑,第二组(51例)采用自己开发的方法检查大脑。结果:在第一组中,有15%的病例发现丘脑出血,12%的病例发现基底核出血,第二组中有32%的病例发现丘脑出血,21%的病例发现基底核出血。新开发的丘脑基底核解剖检查方法的应用表明了其可行性和有效性。结论:丘脑和基底核的解剖研究方法已经发展并提出用于实践,将允许增加法医检查尸体的客观性和证据。
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来源期刊
Sudebno-Meditsinskaya Ekspertisa
Sudebno-Meditsinskaya Ekspertisa Medicine-Pathology and Forensic Medicine
CiteScore
0.60
自引率
0.00%
发文量
70
期刊介绍: The journal is concerned with the theory and practice of forensic medicine - the problems of thanatology, traumatology, toxicology, serology, forensic obstetrics, forensic dentistry, forensic psychiatry, forensic chemistry, physicotechnical methods of investigation, history of forensic medicine and some problems of criminology and legal laws related to forensic medicine. It publishes original studies by Russian authors, casuistry surveys, abstracts and reviews of Russian and foreign literature, scientific information, reports on scientific conferences.
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