On 11th November Professor Nin Bajaj, Consultant Neurologist, delivered a very insightful and comprehensive presentation to members of the Society on the subject of “Medico-Legal Aspects of Head Injury”.
He spoke on the concept of having a traumatic brain injury without there being a loss of consciousness, and the difficulties experienced by medics in making a diagnosis in such circumstances.
He also covered in depth the issue of Diffuse Axonal Injury (DAI) and how diagnosis is most commonly achieved after death, by microscopy at post-mortem. Hence, the importance of employing other modalities, such as enhanced CT imaging, to achieve earlier diagnosis. However, enhanced imaging is not often available and standard CT imaging is often of insufficient resolution to achieve diagnosis, with DAI being diagnosed only 20% of the time on a regular CT scan. Whilst MRI scanning can achieve more enhanced imaging, the timing of the scan is pivotal, and with the average wait time for a scan being 4 – 6 weeks, DAI can often go undiagnosed for some time.
Professor Bajaj’s presentation was attended by a large audience consisting of medics and lawyers. All members of the Society express their thanks to Professor Bajaj for taking the time to speak to us, and for his continued commitment to medicine in the field of Neurology.