Autopsy and Histopathological Analysis of 28 Cases of Traumatic Brainstem Haemorrhages
Message:
Abstract:
Background
Brainstem hemorrhage was first described by Cheyne in 1812 in a pathological study of patients presenting with lethargy and coma. In 1877 Bode reviewed the findings of 67 patients reported in the literature (1). In the United States, the incidence of closed head injury is estimated to be approximately 200 cases per 100,000 persons per year. The financial burden of head injuries in the United States is estimated to be $75-100 billion annually (4).
Materials And Methods
This cross-sectional study, the brainstem was studied by both gross and histopathological examinations.
Results
During a period between between July 1, 2010 and June 31, 2011, a total of 71 head injury cases were autopsied and brainstem hemorrhage was seen in 28 of them.
Discussion
Out of the 28 cases, most of the hemorrhages occurred in the midbrain (68%) and least in medulla oblongata (11%), while four cases had pontomedullary junction tearing and one of them presented presented cervicomedullary junction tearing.
Conclusion
Hemorrhages are usually the only evidence of injury to the brain-stem in those dying immediately or within a few hours. Failure to realize this has led to underestimation of the frequency of brain-stem hemorrhage after injury, and, indeed, to the frequency of brain-stem lesions of all kinds.
Language:
English
Published:
Iranian Journal of Toxicology, Volume:5 Issue: 4, Winter 2012
Page:
551
magiran.com/p970807  
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 990,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
توجه!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
دسترسی سراسری کاربران دانشگاه پیام نور!
اعضای هیئت علمی و دانشجویان دانشگاه پیام نور در سراسر کشور، در صورت ثبت نام با ایمیل دانشگاهی، تا پایان فروردین ماه 1403 به مقالات سایت دسترسی خواهند داشت!
In order to view content subscription is required

Personal subscription
Subscribe magiran.com for 50 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!