science & techWellcome Collection
Dissecting donated brains reveals the physical signs of Alzheimer's and Parkinson's
Neuropathologists dissect brains after death to confirm diagnoses and to learn what diseases do to tissue. The brain is cut in half and sliced into thin cross-sections, which show grey cortex on the outside and white matter of myelin-wrapped fibres beneath it. Shrinkage of the brain and enlarged ventricles can signal Alzheimer's, while microscopic plaques and tangles confirm the disease. Parkinson's shows up as loss of dopamine-producing cells in the substantia nigra, along with Lewy bodies in the brainstem. Such donated tissue is essential because living brains cannot be examined in this way. Deep brain stimulation, which has been used on around 200,000 patients, can ease the symptoms of Parkinson's even though there is no cure.
Brains are fixed, cut into coronal slices and sampled, then the tissue is embedded in wax, cut into very thin sections and stained. Stains and antibodies make plaques, tangles and Lewy bodies visible under the microscope. Broca's and Wernicke's areas were located in the 19th century by matching damage in stroke patients to lost speech abilities.
Post-mortem study is the only way to confirm many neurological diseases definitively, and it helps researchers find treatments. Donated brains are central to progress in understanding dementia and Parkinson's.
Early neurologists like Paul Broca and Carl Wernicke mapped language to specific brain regions by examining brains after death. Post-mortem study remains the gold standard for many neurological diagnoses.
Wellcome Collection · CC BY 4.0
Illustrative photo · Anonymous Unknown author, Public domain, via Wikimedia Commons
