"EXPERT ASSESSMENT OF DIFFUSE AXONAL BRAIN DAMAGE"
Journal Title: International scientific journal Science and Innovation - Year 2023, Vol 2, Issue 12
Abstract
Diffuse axonal brain injury (DAI) is a variant of severe traumatic brain injury, the main substrate of which are diffuse breaks or tears of axons. DAI is characterized by a prolonged comatose state that has arisen since a traumatic brain injury (TBI). Its morphological manifestations are diffusely distributed axon ruptures and small focal hemorrhages in cerebral structures. DAI is mainly common among young people and children. In childhood, it is accompanied by more severe neurological disorders and a deeper coma. (1,3,4,12). Some authors suggest the division of DAI by severity (2,5,6,8). Mild degree corresponds to a coma duration of 6-24 hours, moderate – coma longer than a day, but without gross stem manifestations. Severe diffuse axonal brain damage is characterized by a prolonged coma with symptoms of decortication and decerebration. From a forensic point of view, DAI presents certain difficulties both in determining the severity of the injury inflicted, and, in particular, in making a forensic diagnosis in case of fatal TBI. In such cases, with all the evidence of traumatic brain injury, clinical and morphological manifestations of DAI are very scarce. To date, there are no scientifically sound recommendations for the forensic assessment of TBI in diffuse axonal lesions of the brain.
Authors and Affiliations
A. I. Iskandarov, A. A. Ismatov
Keywords
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- EP ID EP726393
- DOI 10.5281/zenodo.10402583
- Views 36
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