On the diagnostic value of perivascular hemorrhage at the bottom of the 4th ventricle in the recognition of asphyxia

The mechanism of asphytic death is very complex, varied, and not entirely clear. However, it is known that during asphyxia, the central nervous system is most quickly and first of all affected, therefore, the aspirations of researchers to find out the characteristic changes in it are quite understandable. According to our observations and materials of the department (200 cases), those who died from mechanical (strangulation) asphyxia macroscopically showed pronounced plethora of the meninges (61%) and brain (59%), cerebral edema, venous blood overflow in the dura mater sinuses (55% ), the presence of small-point hemorrhages at the bottom of the 4th ventricle. The latter phenomenon was observed with various frequencies by other authors (F. A. Patenko, S. M. Sidorov).