Dating of Acute and Subacute Subdural Haemorrhage:
A Histo-Pathological Study
Published: July 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.8141
Murali G Rao, Dalbir Singh, Rakesh Kumar Vashista, Suresh Kumar Sharma
1. Assistant Professor, Department of Forensic Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
2. Professor and Head of Department, Department of Forensic Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
3. Professor and Head of Department, Department of Histopathology Post Graduate Institute of Medical Education and Research, Chandigarh, India.
4. Professor, Department of Statistics, Panjab University, Chandigarh, India.
Correspondence Address :
Dr. Dalbir Singh,
Professor and Head of Department, Department of Forensic Medicine, Research Block B,
Post Graduate Institute of Medical Education and Research,
Chandigarh, 160012, India.
E-mail: drdalbirsingh@hotmail.com
Abstract
Introduction: Microscopic study of the organization of the Subdural Haemorrhage (SDH) verified against the time period can help us in the determination of its age which has serious medico-legal implications. Very few studies concerning the dating of SDH are present in the literature.
Aim: This study was conducted for dating the early subdural haemorrhage by routine histopathological stains.
Materials and Methods: A prospective analytical study was conducted during July 2009 to December 2010. A total of 100 cases (50 males and 50 females) fulfilling the inclusion and exclusion criteria were included in this study. Routine histopathological staining of the subdural haematoma was done.
Results: Correlation between the frequency of a given histomorphological phenomenon and the length of the Post-Traumatic Interval (PTI) was evidential. All the histomorphological features, when correlated with PTI groups, were found to be statistically significant, except for Polymorphonuclear Leukocytes (PMN).
Conclusion: We concluded that routine histopathology was reliable in the dating of early subdural haemorrhages.
Keywords
Medico-legal, Polymorphonuclear leuckocytes, Post-traumatic interval, Subdural haematoma