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Polish Journal of Pathology
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1/2023
vol. 74
 
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abstract:
Review paper

Recommendations of the Polish Association of Neuropathologists on performing post-mortem examination of the brain and spinal cord

Aleksandra Sejda
1
,
Teresa Wierzba-Bobrowicz
2
,
Sławomir Michalak
3
,
Dariusz Adamek
4
,
Jacek Gulczyński
5
,
Maciej Ciołkowski
6, 7
,
Wiesława Grajkowska
8
,
Ewa Iżycka-Świeszewska
5

1.
Department of Pathomorphology and Forensic Medicine, Collegium Medicum University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
2.
Department of Neuropathology, Institute of Psychiatry and Neurology in Warsaw, Warsaw, Poland
3.
Department of Neurochemistry and Neuropathology, Poznan University of Medical Sciences, Poznan, Poland
4.
Department of Pathomorphology, Jagiellonian Collegium Medicum Jagiellonian University, Cracow, Poland
5.
Division of Pathology and Neuropathology, Medical University of Gdansk, Gdansk, Poland
6.
Department of Descriptive and Clinical Anatomy, Medical University of Warsaw, Warsaw, Poland
7.
Department of Neurosurgery, Children’s Memorial Health Institute in Warsaw, Warsaw, Poland
8.
Department of Pathomorphology, Children’s Memorial Health Institute in Warsaw, Warsaw, Poland
Pol J Pathol 2023; 74 (1): 1-11
DOI: https://doi.org/10.5114/pjp.2023.127231
Online publish date: 2023/04/28
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Neuropathological central nervous system (CNS) post-mortem examination is a highly specialistic element of the autopsy procedure with methodological specificity. Herein we propose updated recommendations for CNS autopsy for pathologists and neuropathologists. The protocol includes the compendium of neuroanatomy with current nomenclature, consecutive steps of gross examination, as well as appropriate sampling algorithms in different clinical and pathological settings. The significance of pathoclinical cooperation in differential diagnosis is exposed.

We believe it is essential to create and promote the guidelines to improve the quality of CNS post-mortem examination at the national level.
keywords:

autopsy, brain, spinal cord, recommendations
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