Neuronal apoptosis following human brain injury

Int J Legal Med. 2004 Feb;118(1):32-6. doi: 10.1007/s00414-003-0413-4. Epub 2003 Nov 18.

Abstract

Neuronal apoptosis has been investigated in paraffin-embedded brain tissue from 103 individuals who had sustained blunt head injury by use of the in situ nick translation (ISNT) technique. In order to provide reliable data for a forensic wound age estimation, a quantitative morphometric analysis was performed. Apoptotic neuronal cells could be detected in a cortical contusion with a wound age of 45 min at the earliest and in the majority of the cases with postinfliction intervals up to 2 weeks, numerous ISNT-positive cells were found adjacent to the traumatically injured area. The presented data indicate that neuronal apoptosis peaks at about 1 day and persists for at least 22 weeks after blunt head injury. The time-dependent occurrence of apoptotic cells can contribute to a forensic timing of cortical contusions and complements other immunohistochemical parameters, especially in the early postinfliction interval.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Apoptosis*
  • Brain Injuries / pathology*
  • Cerebral Cortex / injuries
  • Cerebral Cortex / pathology
  • Child
  • Forensic Medicine / methods
  • Head Injuries, Closed / pathology*
  • Humans
  • In Situ Nick-End Labeling
  • Middle Aged
  • Neurons / pathology*
  • Time Factors