Significance of intracranial gas on post-mortem computed tomography in traumatic cases in the context of medico-legal opinions
Autor: | Victoria Prokopowicz, Kacper Koczyk, Katarzyna Blacha, Aleksandra Borowska-Solonynko |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Male
Time Factors genetic structures Poison control Autopsy Postmortem computed tomography 01 natural sciences Neck Injuries 0302 clinical medicine Intracranial gas Embolism Air Intravascular gas Child Aged 80 and over Head injury Pneumothorax General Medicine Middle Aged medicine.anatomical_structure Child Preschool Original Article Female Radiology Adult medicine.medical_specialty Adolescent Thoracic Injuries Pneumorrhachis Context (language use) Pathology and Forensic Medicine 03 medical and health sciences Young Adult Pneumocephalus Injury prevention medicine Humans 030216 legal & forensic medicine Aged Retrospective Studies Lung Skull Fractures business.industry 010401 analytical chemistry Infant Newborn Infant medicine.disease eye diseases 0104 chemical sciences body regions Skull Brain Injuries business Tomography X-Ray Computed |
Zdroj: | Forensic Science, Medicine, and Pathology |
ISSN: | 1556-2891 1547-769X |
Popis: | The detection of intracranial gas (ICG) in people who died due to trauma became possible once postmortem computed tomography (PMCT) became available in addition to traditional post-mortem examinations. The aim of this study was to determine the importance of ICG in the context of medico-legal opinions. We assessed 159 cases of trauma-induced death. Cadavers with pronounced signs of decomposition, open skull fractures, and after neurosurgical operations were excluded. Both PMCT findings and data from autopsy reports were analyzed. ICG was found in 38.99% (n = 62) of the cadavers, 96.77% (n = 60) of which presented with pneumocephalus (PNC) and 40.23% (n = 25) with intravascular gas (IVG). There was a strong correlation between ICG and skull fractures/brain injuries, as well as chest injuries, especially lung injuries. In 13 cases, ICG presented without skull fractures; three of these cases died as a result of stab and incised wounds to the neck and chest. The mean time between trauma and death was significantly longer in the non-ICG group than the ICG group at 2.94 days (0–48 days) and 0.01 day (0–1 day), respectively (p |
Databáze: | OpenAIRE |
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