autopsy report

尸检报告
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    文章类型: Journal Article
    The aim of this paper is to reconstruct the hijacking case of an aircraft on the Mariánské Lázně - Prague route in 1972 and the shooting of its pilot in command in light of new facts, mainly autopsy reports from both Germany and Czechoslovak Socialist Republic. These reports contained absolutely opposite findings, both in terms of the findings themselves and their resulting interpretations. Since it is still not yet known exactly what happened in the plane, a reconstruction was carried out in an identical aircraft in the Aviation Museum in Kunovice. During the reconstruction, all possible (including theoretical) situations that may have occurred in the aircraft were examined. It was found that this could not have been a premeditated intentional murder, but that the shot could only have occurred during a passenger skirmish, and one that must have resulted in a very rare situation at that. From a political-medical point of view however, there are still several questions that cannot be answered even with the best of intentions.
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  • 文章类型: Biography
    After the defeat at the battle of Waterloo on June 18, 1815, Napoleon Bonaparte was sent into exile to the Island of St. Helena where he died 6 years later on May 5, 1821. One day after his death, Napoleon\'s personal physician, Dr. Francesco Antommarchi, performed the autopsy in the presence of Napoleon\'s exile companions and the British medical doctors. Two hundred years later, mysteries still surround the cause of his death and different hypotheses have been postulated in the medical and historical literature. The main reasons seem to be the presence of several autopsy reports, their interpretation and perhaps the greed for thrill and mystery. Therefore, for the bicentenary of Napoleon\'s death, an international consortium of gastrointestinal pathologists assembled to analyse Napoleon\'s autopsy reports based on the level of medical evidence and to investigate if the autopsy reports really do not allow a final statement.
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  • 文章类型: Case Reports
    在肌萎缩侧索硬化症(ALS)中很少观察到头部脱落综合征(DHS),这种情况的神经病理学发现几乎从未被描述过。反式激活应答DNA结合蛋白43kDa(TDP-43)的鉴定,与RNA/DNA结合为研究ALS和额颞叶变性(FTLD)提供了新的方法。一名患有DHS的71岁患者的成年猝死病例的验尸检查显示,颈索(C4-6)的前运动神经元严重损失。与后根相比,前根的神经纤维损失惊人,伴有明显的神经源性神经萎缩。在贝兹巨细胞的大神经元中发现了布尼娜的尸体,但不是脊髓的运动神经元,或球区域的神经元。在宫颈的残余神经元中检测到磷酸化TDP-43(p-TDP-43)阳性结构,胸绳和木材绳,舌下神经核,小脑齿状核和海马旁皮质,与泛素阳性内含物一起。在杏仁核中发现神经元细胞质中的磷酸化Tau阳性结构,内嗅皮层和海马旁皮层,其中一些共表达p-TDP-43。颈索的内侧区可能是第一个发病部位,这就是ALS早期头部脱落的原因。尽管进行了详细的检查,猝死的直接原因没有得到证实。这份尸检报告揭示了DHS的关系,DHS是ALS的罕见临床表现,和神经病理学发现。
    Dropped head syndrome (DHS) has been rarely observed in amyotrophic lateral sclerosis (ALS), and the neuropathological findings of this condition have almost never been described. The identification of transactivation response DNA-binding protein 43 kDa (TDP-43), which binds to RNA/DNA has provided a new method for studying ALS and frontotemporal lobar degeneration (FTLD). Post-mortem examination of an adult sudden death case of a 71-year-old patient who complained of DHS exhibited severe loss of anterior motor neurons in the cervical cord (C4-6). Loss of nerve fibers of the anterior roots was striking compared with posterior roots, together with marked neurogenic atrophy of posterior muscles semispinalis cervicis. Bunina bodies were found in large neurons of Betz giant cells, but not in the motor neurons of spinal cords, or neurons of bulbar regions. Phosphorylated TDP-43 (p-TDP-43)-positive structures were detected in the residual neurons of the cervical, thoracic and lumber cords, hypoglossal nucleus, cerebellar dentate nucleus and parahippocampal cortex, together with ubiquitin-positive inclusions. Phosphorylated Tau positive structures in neuronal cytoplasm were found in the amygdala, entorhinal cortex and parahippocampal cortex, some of which co-expressed p-TDP-43. The medial zone of cervical cords may be the first onset site, and that is the cause of head drop in the early stage of ALS. In spite of detailed examination, the direct cause of sudden death was not verified. This autopsy report revealed the relation of DHS which is a rare clinical manifestation of ALS, and neuropathological findings.
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  • 文章类型: Case Reports
    对于延迟放射损伤,图像分析已经相当先进,但神经病理学检查仍需确诊。一名14岁时接受松果体生殖细胞瘤放射治疗的患者在15年后因晚期延迟放射损伤而出现神经和精神异常。59岁时的尸检显示白质弥漫性变化,按髓鞘苍白的严重程度排列,脱髓鞘,和坏死,其特征是缺乏神经胶质反应。大脑皮层保存相对较好。作为延迟的辐射伤害,血管壁的无光泽变化,血管瘤性病变和,发现了新鲜和旧的瘀点出血。此外,还出现了与动脉硬化相关的血管变化.此外,检测到局灶性神经胶质结节,该结节被认为是新的放射诱导瘤形成.这些发现表明,晚期延迟辐射损伤可能会在30年内缓慢发展,并且可能涉及对神经胶质干细胞补偿的损害。同样明显的是,在延迟放射损伤病例中可能会发生动脉硬化变化和新诱导的瘤形成。
    For delayed radiation injury, image analysis has considerably advanced, but neuropathological findings are still required to establish diagnosis. A patient who had received radiation therapy for pineal germinoma at age 14 developed neurological and psychiatric abnormalities after 15 years as a late delayed radiation injury. Autopsy at age 59 revealed diffuse changes in the white matter consisting in order of severity of myelin pallor, demyelination, and necrosis which were characterized by a lack of glial reaction. The cerebral cortex was relatively well preserved. As delayed radiation injuries, hyalinous changes in the vascular wall, angiomatous lesions and, fresh and old petechial hemorrhages were found. Moreover, vascular changes associated with arteriosclerosis were also present. Furthermore, a focal glial nodule was detected which was considered to be a new radiation-induced neoplasia. These findings suggest that late delayed radiation injury may slowly develop over 30 years and may involve damage to neuroglial stem cell compensation. It is also evident that arteriosclerotic changes and newly induced neoplasia may develop in delayed radiation injury cases.
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  • 文章类型: Case Reports
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