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
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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