Free Dating Neurological Injury A Forensic Guide for Radiologists, Other Expert Medical Witnesses, and Attorneys pdf download

Free Dating Neurological Injury A Forensic Guide for Radiologists, Other Expert Medical Witnesses, and Attorneys pdf download

Why do we need a book on the dating of neurological injury? Over the last decade, I have personally reviewed more than 80 medical–legal cases related to neurological disease in which some aspect of the case involved imaging technology. Many cases – in clinical situations, such as alleged birthrelated hypoxia or ischemia, surgically-related injuries, or trauma-induced spinal cord or brain substance abnormalities, for example – shared the need both to detect the presence of an injury and to date the time it occurred. While a minority of cases involved the misdiagnosis of an aneurysm, a delayed diagnosis of spinal fracture, or orbital injury during a surgical procedure, the large majority of cases used modern imaging, first to detect if an injury had occurred to the brain substance or the spinal cord (collectively referred to as the central nervous system) and second to determine, if an injury did occur, at what time it occurred. In a medical–legal setting, the interplay between the radiographic findings and the clinical findings has several possible scenarios.

Dating Neurological Injury A Forensic Guide for Radiologists

Dating Neurological Injury A Forensic Guide for Radiologists

On one extreme, the imaging findings may be so unequivocal that no doubt exists as to what occurred and even little doubt about when it occurred. On the opposite extreme, the radiologic findings may be either completely noncontributory or may show that an event occurred but offer no insight into when it occurred (and hence its proximate cause). In between is a gray area in which the clinical history can often be very helpful in delineating the imaging findings to more accuracy and specificity; and the reverse may also be true, i.e., that the radiology may help clarify the clinical picture. My hope is

CONTENTS: Dating Neurological Injury A Forensic Guide for Radiologists

1 The Structure of the Normal Brain and Its Imaging Appearance …………………………… 3

Introduction …………………………………………………………………………………………………………… 3

The Layers of the Scalp, Skull, and Meninges …………………………………………………………… 4

The Scalp ………………………………………………………………………………………………………….. 4

The Skull …………………………………………………………………………………………………………… 4

The Epidural Space …………………………………………………………………………………………….. 5

The Dura …………………………………………………………………………………………………………… 6

The Subdural Space ……………………………………………………………………………………………. 6

The Arachnoid Membrane and Subarachnoid Space ……………………………………………….. 7

The Pia ……………………………………………………………………………………………………………… 8

The Visible Outer Surface of the Brain ………………………………………………………………….. 8

The Imaging Appearance of the Normal Scalp, Skull, and Meninges ………………………… 8

Brief Overview of Brain Anatomy ……………………………………………………………………………. 9

The Blood Supply to the Brain ………………………………………………………………………………… 10

The Arterial Vessels ……………………………………………………………………………………………. 10

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