Radiological-neuropathological correlation. Traumatic injury of the spinal cord

Ignasi Galtés, Mònica Cos, Marisa Ortega, María Ángeles Gallego, Carles Martin-Fumadó

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    © 2014 Asociación Nacional de Médicos Forenses. We report the neuropathological findings in a 80-years-old woman with acute spinal cord compression after an accidental fall at home, who died of acute respiratory failure 9 days after admission. Neuropathological examination was performed by cervical bloc removal, and the examination of frozen serial sagittal sections to assess the presence of traumatic injuries. The case showed a good correlation with previous imaging studies. Gross examination of the cervical spine confirmed the presence of numerous disc lesions and anterior longitudinal ligament rupture, several paravertebral, epidural and centromedullar hemorrhagic foci, and an acute compression of the spinal cord, suggesting an anteroposterior acceleration mechanism of injury of the spine. The removal and study of the cervical block in cases of suspected traumatic pathology, offers the advantages of a second time autopsy, the opportunity to compare with the diagnostic imaging, and ultimately an optimal evaluation of histopathological changes. Implementing radiologic-pathologic correlation in the field of forensic neuropathology, could contribute to the epidemiological and etiopathologic knowledge of the central nervous system injuries.
    Original languageEnglish
    Pages (from-to)32-35
    JournalRevista Espanola de Medicina Legal
    Volume41
    Issue number1
    DOIs
    Publication statusPublished - 1 Jan 2015

    Keywords

    • Cervical autopsy
    • Forensic neuropathology
    • Forensic pathology

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