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Difference between revisions of "Autopsy"
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→Skull: more
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**Focal haemorrhage secondary to urinary catheter. | **Focal haemorrhage secondary to urinary catheter. | ||
==Skull== | ==Skull & brain== | ||
#One should saw through the skull completely, i.e. one should not "crack" the skull open with a chisel. | |||
#*Cracking open the skull may result in artefactual fractures that are impossible to differentiate from antemortem fractures. | |||
#*Cuts into the brain (from opening the skull) are not difficult to distinguish from antemortem injuries. | |||
#Cranial nerves should be cut. | |||
#Tentorium should be released. | |||
#Spinal cord should be completely cut as far down as possible. | |||
#Dura should be stripped from the skull base. | |||
Scalp hematoma: | Notes: | ||
*May result from intracranial pressure. | *Scalp hematoma: | ||
**[http://en.wikipedia.org/wiki/File:Scalp_hematomas.jpg Types of scalp hematomas]. | **May result from intracranial pressure. | ||
***[http://en.wikipedia.org/wiki/File:Scalp_hematomas.jpg Types of scalp hematomas]. | |||
===Brain=== | |||
====Procedure==== | |||
Up-down anatomically oriented (right side-up): | |||
#Examine meninges. | |||
#Remove dura. | |||
#Examine venous sinuses. | |||
#Look for gyri effacement - due to edema or haematomas. | |||
Not up-down anatomically oriented (top down): | |||
#Remove brain stem - with one cut ~ at level of mid-brain. | |||
#Cerebrum section - first cut at mammillary bodies. | |||
#*Subsequent cuts ~ 1.0 cm in thickness. | |||
===Anatomic variants=== | ===Anatomic variants=== | ||