[Pneumocephaly: an expert assessment in determining the severity of harm to health].

Autor:	Shaginyan GG; Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia, Moscow, Russia., Gedygushev IA; Russian Center for Forensic Medicine of the Ministry of Health of Russia, Moscow, Russia., Gorshkov AN; N.A. Semashko Central Clinical Hospital No. 2 of Russian Railways LLC, Moscow, Russia., Nagornov MN; I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Ministry of Health of Russia, Moscow, Russia., Kochoyan AL; Russian Center for Forensic Medicine of the Ministry of Health of Russia, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Sudebno-meditsinskaia ekspertiza [Sud Med Ekspert] 2020; Vol. 63 (4), pp. 53-56.
DOI:	10.17116/sudmed20206304153
Abstrakt:	The purpose of the work is the analysis of etiology and pathogenesis of pneumocephaly in various injuries, diseases and pathological conditions for the reasonable determination of the severity of health damage during forensic medical examinations. The analysis of literature data on the causes and mechanisms of pneumocephaly is given. Attention is paid to the assessment of pneumocephaly in determining the health damage in patients with traumatic brain injury or if it is suspected. It is proposed to consider pneumocephaly as an indirect sign of a skull fracture. In case of pneumocephaly, a radiologically confirmed fracture is necessary to justify serious health damage. The medical documents of the victim should be examined to exclude concomitant diseases and pathological conditions that can lead to pneumocephaly.
Databáze:	MEDLINE
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