Post-mortem cerebrospinal fluid diagnostics: cytology and immunocytochemistry method suitable for routine use to interpret pathological processes in the central nervous system

Int J Legal Med. 2019 Jul;133(4):1141-1146. doi: 10.1007/s00414-019-02050-z. Epub 2019 Mar 29.

Abstract

Due to its protected anatomical location, cerebrospinal fluid (CSF) is a very stable fluid which undergoes comparatively little change in the early post-mortem phase. While many immunohistochemical markers already established for clinical diagnostic issues in tissue samples obtained by biopsy could meanwhile be translated also to post-mortem tissue, no systematic immunocytochemical investigations have generally been conducted on post-mortem body fluids and for CSF specifically, have not been established at all. CSF as the fluid directly surrounding the brain should also be examined to allow a more detailed characterization of processes in the central nervous system. Comparing traumatized tissue and CSF can complete forensic assessment and complement neuropathological evaluation.

Keywords: CSF; Cerebrospinal fluid; Cytology; Forensic neuropathology; Forensic neurotraumatology; Immunocytochemistry.

MeSH terms

  • Autopsy
  • Biomarkers / cerebrospinal fluid*
  • Cerebrospinal Fluid / chemistry*
  • Cerebrospinal Fluid Proteins / analysis*
  • Forensic Pathology / methods
  • Humans
  • Immunohistochemistry / methods*
  • Postmortem Changes

Substances

  • Biomarkers
  • Cerebrospinal Fluid Proteins