Terri Schiavo's Autopsy Results

Terris Schiavo's autopsy report is available by clicking here.

From AP:

LARGO, Fla. - Terri Schiavo did not suffer any trauma prior to her 1991 collapse and her brain was about half of normal size when she died, according to results released Wednesday of an autopsy conducted on the severely brain-damaged woman.

Pinellas-Pasco Medical Examiner Jon Thogmartin concluded that there was no evidence of strangulation or other trauma leading to her collapse. He also said she did not appear to have suffered a heart attack and there was no evidence that she was given harmful drugs or other substances prior to her death.

Autopsy results on the 41-year-old brain damaged woman were made public Wednesday, more than two months after Schiavo's death ended an internationally watched right-to-die battle that engulfed the courts, Congress and the White House and divided the country.

She died from dehydration, he said.

He said she would not have been able to eat or drink if she had been given food by mouth as her parents' requested.

"Removal of her feeding tube would have resulted in her death whether she was fed or hydrated by mouth or not," Thogmartin told reporters.

Thogmartin said that Schiavo's brain was about half of its expected size when she died March 31 in a Pinellas Park hospice, 13 days after her feeding tube was removed.

"The brain weighed 615 grams, roughly half of the expected weight of a human brain. ... This damage was irreversible, and no amount of therapy or treatment would have regenerated the massive loss of neurons."
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From Blogs for Terri:

June 15, 2005

Will Autopsy Report Make 'Outlandish' Claims?

Fr. Rob Predicts Outcome of Report

What the report will conclude is not yet known, but the Schindler family and many supporters of Terri's right to live hope the autopsy will provide clues regarding the cause of the cardiac arrest which led to her anoxic brain injury in 1990. They also hope that the autopsy will provide evidence of the abuse of which they have accused Michael Schiavo.

I am not terribly optimistic that the autopsy will provide evidence of either the cause of Terri's cardiac arrest or any abuse. I think there was simply too much time between Terri's injury(ies) and her death for any such evidence to still be detectable.

What I am most interested to see is whether or not, as Michael Schiavo and his attorney George Felos hope, the M.E. purports to draw any conclusions regarding whether Terri was in a PVS (Persistent Vegetative State).

As many readers will recall, when George Felos announced that Michael would "permit" an autopsy (the matter was later shown to be completely out of his hands), he said that Michael wanted "definitive proof showing the extent of her brain damage".

Of course, as I pointed out back then, an autopsy cannot possibly "prove" whether Terri was PVS or not. Indeed, Dr. Bernardine Healy, a former Director of the National Institutes of Health and medical columnist for U.S. News & World Report, responded to Felos' announcement, in an appearance on MSNBC, by pointing out that an autopsy can tell us nothing about Terri's neurological function. She lamented the surreal reasoning by which Michael would permit an autopsy when Terri was dead, but refused the medical tests that could assess Terri's brain function while she was still alive.

The inability of an autopsy to retrospectively diagnose PVS did not stop some "talking heads" on cable news shows from offering ill-informed speculation. One pathologist, appearing on Greta Van Sustern's "On The Record" (partial transcript), said that though a determination that Terri was PVS could not be made with 100% certainty, nonetheless an autopsy could confirm the extent of Terri's brain damage - her "loss of neurons" - and whether she was in fact in a PVS.

Neurologists react to statements such as the above with incredulity. Dr. Mack Jones, a Florida neurologist I interviewed for my National Review Online article "Starving For a Fair Diagnosis", characterized such claims as among "the most outlandish statement[s] that I have ever heard". He continued, saying:

Autopsy findings cannot diagnose PVS. I expect evidence of severe brain damage consistent with hypoxic - ischemic injury to the cerebrum with subsequent atrophy. These findings nor any other findings have no bearing on the diagnosis of "minimal consciousness" or PVS.

Continue reading "Will Autopsy Report Make 'Outlandish' Claims?"