ABSTRACT
Post-mortem study of the brain is extremely relevant to medico-legal autopsies. However, it can be difficult to handle due to its fragility. This article presents a study on the development of an arterial solidifying technique that can be applied to analyze arterial circulation, consequently easing the handling and later diagnosis of diseases in this anatomical site. Vinylpolysiloxane silicone is introduced into the internal carotid arteries until it completely fills the arterial tree, creating a detailed model of the arterial's internal anatomy. This technique is fast, easy to apply and requires no previous tissue fixation. In addition, it allows for further toxicological and pathological tests. In conclusion, this technique represents a simple, sensitive and efficient method to employ in conventional autopsies, which can help in the diagnosis of death.
Subject(s)
Autopsy/methods , Brain/blood supply , Cerebrovascular Circulation , Siloxanes , Brain/pathology , Forensic Pathology/methods , HumansABSTRACT
Con ocasión de un caso de asociación entre síndrome de Down y sinostosis vertebral congénita que sufrió lesión medular traumática, se revisa la asociación de estos cuadros y sus implicaciones clínicas y forenses. La literatura no ha comunicado hasta ahora una asociación prevalente entre síndrome de Down y sinostosis cervicales. Ambos cuadros por separado propenden a la mielopatía cervical, bien de manera degenerativa, bien traumática. En consecuencia, la asociación de ambos debe verse como un factor de riesgo de daño medular o de manera espontánea o, sobre todo, después de traumatismos. En estos casos, la exploración radiológica debe ser exhaustiva incluyendo RMN ya que pueden existir lesiones medulares incluso ante traumatismos mínimos. En caso de fallecimiento, la autopsia medular es obligada ya que puede revelar lesiones subclínicas, clarificar la naturaleza y extensión de las lesiones medulares y esqueléticas, así como ayudar a establecer una mejor correlación anatomoclínica
This paper reviews the association of clinical symptoms and their clinical and forensic implications in a patient with Down's syndrome and congenital cervical synostosis who experienced a traumatic spinal cord injury. To date, no prevalent association between Down's syndrome and cervical synostosis has been reported in the literature. Given that both entities are prone to cause degenerative or traumatic cervical myelopathy, the combination of both conditions must be seen as a risk factor for spontaneous, and particularly traumatic, spinal cord damage. In these cases, radiological examination must be exhaustive, including MRI, given the possibility of spinal cord injury even after minimal trauma. In the event of death, spinal cord autopsy is mandatory as it may reveal subclinical lesions, clarify the nature and extension of the spinal cord and skeletal injuries and help to establish an improved anatomo-clinical correlation
Subject(s)
Humans , Down Syndrome/epidemiology , Synostosis/epidemiology , Autopsy/methods , Cervical Vertebrae/injuries , Cervical Vertebrae/diagnostic imaging , Down Syndrome/complications , Synostosis/complications , Magnetic Resonance Imaging , Wounds and Injuries , Spinal Cord Diseases/complicationsABSTRACT
Tras una larga experiencia de 12 años en la aplicación del baremo de la tabla vi de la Ley 34/2003, se ha aprobado la Ley 35/2015, que reforma el sistema para la valoración de los daños y perjuicios causados a las personas en accidentes de circulación. El presente estudio realiza un análisis comparativo de las secuelas derivadas de dichos accidentes de la columna vertebral, pelvis, cintura escapular y hombro, por ser las más habituales en la peritación medicoforense, comparando su clasificación y valoración según el baremo vigente y el nuevo aprobado por la Ley 35/2015. Se comentan las modificaciones y dudas que suscita la redacción, planteando alguna sugerencia que pudiera suponer una mejora (AU9
After twelve years of experience applying the table vi scale of the Law 34/2003, it has been developed the Law 35/2015 that reform the system for the assessment of personal damages caused in traffic accidents. The current study makes an analysis of the aftermath that involve the vertebral column, pelvis and shoulder girdle, for being the most common in the Forensic expertise. It is compared its classification and valuation according the scale in force and the new one approved in 35/2015 Law. It is discussed the changes and doubts that are aroused, making some suggestions that could suppose any improvements (AU)
