What are potential reasons behind removing the brain during necropsy?
-rabies samples
-prion samples
-histopath. samples
What are the basic steps to removing the head on necropsy?
-reflect the skin over ventral jaw
-cut through the tissue on either side of the mandible
-cut the hyoid bones to remove the tongue
-access the atlanto-occipital joint and disarticulate it
-cut through the spinal cord
-cut through any remaining tissue attaching head to body
-remove remaining soft tissue from skull
What are the two methods for removing the brain from the skull?
Oscillating Saw:
-remove muscle over calvarium
-make first cut across
-make a cut down either side extending into the foramen magnum
-use skull key to remove piece of skull
-allow gravity to help remove entire brain
-use scalpel blade to scoop out remaining pituitary
Band Saw:
-make a longitudinal cut
-gently scoop out each half of the brain with end of scalpel handle or fingers
-cut cranial nerves as needed to remove brain
-retrieve any remaining portion of pituitary
What are the steps to obtaining a rabies sample?
-do NOT place brain in formalin
-take cross section through cerebellum and brainstem
-take cross section from each side if brain was cut in half
-submit the section containing cerebellum and brainstem
What are the steps to obtaining a prion sample?
-do NOT place brain in formalin
-take cross section bilaterally through the obex
-take cross section from each side if brain was cut in half
What are the steps for brain fixation?
-place entire brain (or pieces remaining follow rabies and/or prion testing) into formalin
-do not cut into the brain further
-20:1 ratio of formalin to brain (and spinal cord)
Which tools are used for spinal cord removal via dorsal laminectomy?
-rongeurs
-oscillating saw
-band saw
What are the steps to spinal cord removal via dorsal laminectomy?
-remove dorsal laminae
-gently remove spinal cord; use scalpel to cut spinal nerves
-inspect spinal cord for lesions; localize relative to vertebrae
-feel the floor of spinal canal to check for bulging discs
-use band saw on vertebral column longitudinally to inspect vertebrae and discs
What are the steps to spinal cord removal via longitudinal cut?
-use band saw to carefully make longitudinal cut
-gently remove spinal cord; use scalpel to cut spinal nerves
-inspect spinal cord for lesions; localize relative to vertebrae
-feel the floor of spinal canal to check for bulging discs
-inspect vertebrae and discs