Abstract
Traumatic brain injury remains a major cause of morbidity and mortality, and a common problem in forensic pathology practice. A majority of cases are relatively straight forward, with only a small number of cases presenting diagnostic challenges. This talk will provide an overview of the major pathologies seen in blunt force head injury and, in particular, some time will be spent on diffuse traumatic axonal injury and its diagnosis. I will touch on some aspects of penetrating and blast head injuries, updating on recent research around blast injury in particular. I will focus on specific issues of forensic interest such as ‘talk and die’, delayed traumatic intracerebral haemorrhage, and the settings in which diffuse traumatic axonal injury may be seen. The talk will finish with some discussion around the association (or otherwise) between neurodegeneration and long-term survivors of head injury.
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