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FORENSIC PATHOLOGY - UNIVERSITY OF MALAYA
FATAL HEAD INJURY IN MOTOR VEHICLE ACCIDENTS: A DESCRIPTIVE STUDY OF 37 AUTOPSIES
BY DR. RAZUIN BINTI RAHIMI
A research report in partial fulfillment for the degree of Master of Pathology
MASTER OF PATHOLOGY DEPARTMENT OF PATHOLOGY FACULTY OF MEDICINE UNIVERSITY OF MALAYA KUALA LUMPUR 2009
Author’s note For ease of reading, the convention is used throughout this study, except where obviously inappropriate, that where the masculine gender is used, the feminine is intended to be equally applicable.
ACKNOWLEDGMENT
I would like to thank my immediate supervisor, Dr. Prashant N Samberkar; and my lecturers – Professor Dr. Looi Lai Meng, Associate Professor Dr. R I Krishnan and Dr. Patricia Ann Chandran for their valuable advice and priceless guidance in undertaking this dissertation. I would also like to express my gratitude to my former supervisor, Dr. Mohd Shah Mahmood; my mentor Dr. Rohayu Shahar Adnan; and all the staff at the National Institute of Forensic Medicine, Hospital Kuala Lumpur, Ministry of Health for all knowledge shared and assistance lent during my 17-month attachment there. To Miss Ruhaida Rahimi who has kindly lent me her hands in fabricating the colourful charts, I thank you.
CONTENT:
Pages
List of tables and figures
Chapter 1 : Introduction
1
Chapter 2 : Methodology
11
Chapter 3 : Results
18
Chapter 4 : Discussions
33
Chapter 5 : Conclusions
37
References
40
LIST OF TABLES AND FIGURES Table 1.3:
Causes of death in motor vehicle accident autopsies in 2006 at the National Institute of Forensic Medicine, Hospital Kuala Lumpur
Table 3.1:
Motor vehicle accident statistics based on ethnicity and nationality
Figure 1.1:
Motor vehicle accidents and fatalities in Kuala Lumpur
Figure 1.2:
Autopsy cases for road traffic accidents recorded by National Institute of Forensic Medicine, Hospital Kuala Lumpur
Figure 1.3:
Causes of death in motor vehicle accident autopsies in 2006 at the National Institute of Forensic Medicine, Hospital Kuala Lumpur
Figure 2.1:
Number of cases for 3-month period in 2006 at the National Institute of Forensic Medicine, Hospital Kuala Lumpur
Figure 2.2:
Brain cuts after fixing in 4% formaldehyde for 2 weeks
Figure 2.3:
Brain section laid for photography
Figure 3.1:
Motor vehicle accident statistics based on age group
Figure 3.2:
Motor vehicle accident statistics based on category of road user
Figure 3.3:
Motor vehicle accident statistics based on post incident interval
Figure 3.4:
Causes of death in the study subjects
Figure 3.5:
Motor vehicle accident statistics based on injuries sustained and
interval time of death Figure 3.6:
Craniocerebral injuries in all subjects
Figure 3.7:
Haemorrhage with axonal bulbs on H & E stain
Figure 3.8:
Haemorrhage with axonal injury as demonstrated by pinkish small retraction balls
Figure 3.9:
Darkly stained axonal bulbs using Bielchowsky silver method
Figure 3.10: Axonal bulbs with a few swollen axons
CHAPTER 1: INTRODUCTION ϭ
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