Osmotic demyelination syndrome – an example of using neuropathological examination in forensic medical practice = Zespół osmotycznej demielinizacji – przykład wykorzystania badania neuropatologicznego w praktyce medyczno-sądowej
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RIS BIB ENDNOTEData publikacji: 04.06.2025
Archiwum Medycyny Sądowej i Kryminologii, 2025, Vol. 75 (1), s. 55-66
https://doi.org/10.4467/16891716AMSIK.25.005.21540Autorzy
Osmotic demyelination syndrome – an example of using neuropathological examination in forensic medical practice
Aim: Presentation of the practical application of neuropathological examination in forensic medical practice. Emphasizing the usefulness of rarely utilized neuropathological examinations, particularly in cases of deaths with unclear neurological etiology.
Case description: A 46-year-old woman with alcohol addiction passed away due to encephalopathy, clinically identified as toxic encephalopathy. A standard autopsy did not allow for a definitive determination of the cause of death. Thanks to the conducted neuropathological examination, which revealed extensive demyelination, and the analysis of the treatment course, the toxic cause of death was ruled out, leading to the diagnosis of osmotic demyelination syndrome resulting from overly rapid correction of hyponatremia.
Conclusions: This case highlights the crucial role of neuropathology in post-mortem diagnostics and underscores the need for developing guidelines and educating prosecutors on its application in forensic autopsies.
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Informacje: Archiwum Medycyny Sądowej i Kryminologii, 2025, Vol. 75 (1), s. 55-66
Typ artykułu: Oryginalny artykuł naukowy
Tytuły:
Katedra i Zakład Medycyny Sądowej Warszawskiego Uniwersytetu Medycznego
Polska
Katedra i Zakład Medycyny Sądowej Warszawskiego Uniwersytetu Medycznego
Polska
Zakład Neuropatologii,
Instytut Psychiatrii i Neurologii w Warszawie
Polska
Katedra i Zakład Medycyny Sądowej Warszawskiego Uniwersytetu Medycznego
Polska
Zakład Neuropatologii,
Instytut Psychiatrii i Neurologii w Warszawie
Polska
Publikacja: 04.06.2025
Otrzymano: 25.03.2025
Zaakceptowano: 09.04.2025
Status artykułu: Otwarte
Licencja: CC-BY-NC-SA
Udział procentowy autorów:
Korekty artykułu:
-Języki publikacji:
Angielski, Polski