Articles Vol. 66 No. 4 25/07/2025

2. OVERVIEW OF PATHOLOGICAL LESIONS OF BRAIN CONTUSION DUE TO ROAD TRAFFIC ACCIDENTS

Trinh Xuan Ha1,2,3,4, Luu Sy Hung1,3, Nguyen Duc Nhu5,6, Trinh Viet Duc2,4, Trinh Thi Thuy2,4
1 Hanoi Medical University
2 Hanoi Forensic Center
3 Trường Đại học Y Hà Nội
4 Trung tâm Pháp Y Hà Nội
5 National Institute of Forensic Medicine
6 Viện Pháp Y quốc gia
Corresponding author: xuanhapyhn@gmail.com
DOI: 10.52163/yhc.v66i4.2851
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Keywords
pathology brain contusion road traffic accident overview.
Abstract

Objective: To evaluate the overall pathological morphology of brain contusions caused by road traffic accidents.

Method: A Scoping review method was used in the study. The search strategy for scientific articles in PubMed and Google Scholar libraries. Full-text articles were searched and screened based on PRISMA-ScR guidelines, and 10 articles published between 2014 and 2024 were selected for synthesis.

Results: Types of brain contusions include: primary lesions, secondary lesions, focal lesions, diffuse lesions, and symmetric lesions. The histopathological images of brain contusions are diverse: closed wall lesions after TTSN, open brain lesions after TTSN, meningeal lesions after TTSN, skin lesions of the head, and axonal lesions.

Conclusion: For forensic doctors, in addition to recognizing gross lesions, it is necessary to know and understand microscopic lesions to have a comprehensive view of traumatic brain injury in general, brain contusion in particular, especially in assessing the time of injury.

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