Correlation of survival time with size of axonal swellings in diffuse axonal injury.

Abstract:

:Widespread damage to axons in the white matter of the brain is a well-recognised consequence of non-missile head injury. This diffuse axonal injury is characterised by a gradual swelling of the axon associated with an accumulation of cellular organelles and proteins. We have investigated the relationship between the size of the swellings of the damaged axon with survival time in post-mortem brain tissue. Sixty-six cases of head injury with known length of post-traumatic survival were selected for study, and immunohistochemistry for beta-amyloid precursor protein (betaAPP) was carried out. The minimum diameter of the betaAPP-immunolabelled damaged axons was measured in micrometers using the IBAS image analysis system. There was a strong, positive and significant relationship between the mean size of axonal swelling and survival time which plateaued at around 85 h post injury. With longer survival times the situation becomes more complex. betaAPP immunolabelling of damaged axons can contribute evidence about trauma and post-injury survival time in the forensic setting but should always be assessed with other evidence.

journal_name

Acta Neuropathol

journal_title

Acta neuropathologica

authors

Wilkinson AE,Bridges LR,Sivaloganathan S

doi

10.1007/s004010051069

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

197-202

issue

2

eissn

0001-6322

issn

1432-0533

journal_volume

98

pub_type

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