Protocols in forensic neuropathology

Abstract

The practice of forensic neuropathology has changed due to both changes in attitudes to brain retention and to the availability of neuropathologists. This talk will cover alternative approaches to brain examination which do not require whole organ retention but do provide an adequate neuropathological examination. I will cover examination with no fixation, rapid fixation, delayed examination, and will touch on single slice retention, although this will be covered in greater detail in the talk by Dr Iles. The talk will then address the issue of standard protocols for block taking in certain situations, the aim being to give the non-neuropathologist an approach that should allow diagnosis in most cases, and will be adequate for referral to a specialist centre if required. Time permitting there will be discussion of the role of specialists and the risk of loss of expertise within forensic pathology with too great a reliance on specialists.