지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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We present the case of a 23-year-old man who suddenly collapsed during a physical altercation with his friends while in a drunken state. The post-mortem computed tomography (CT) with angiography revealed acute basal subarachnoid hemorrhage with rupture of the left middle cerebral artery. On autopsy, the head, face, mandible and neck showed multifocal hemorrhages with fracture of the hyoid bone, and the pathologic findings of the brain was consistent with CT findings. However, the vascular rupture site was not observed macroscopically. On histologic examination, a microscopic focal rupture was identified at the proximal portion of the middle cerebral artery, and possibility of arteriopathy was considered. This case illustrates that other parts of intracerebral arteries (other than the vertebral arteries) can be the culprit of rupture in the case of traumatic basal subarachnoid hemorrhage, and the post-mortem angiographic findings can be helpful in targeting the site of vascular injury. Furthermore, meticulous sampling of intracranial vessels could help find the vascular rupture site and identify any histologic findings suspicious of arteriopathy. Therefore, we suggest that post-mortem angiography can be an effective and adjunctive tool for a tailored approach in finding the vascular injury, and that histologic examination of both the intracranial and extracranial arteries be important to medicolegally ensure the death of traumatic basal subarachnoid hemorrhage and to examine presence of arteriopathy as a predisposing factor.
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참고문헌 (15)
참고문헌 신청
Contostavlos DL / 1971 / Massive subarachnoid hemorrhage due to laceration of the vertebral artery associated with fracture of the transverse process of the atlas / J Forensic Sci 16:40~56
Itabashi HH / 2007 / Foresensic neuropathology / Elsevier Inc
Ellison D / 2013 / Neuropathology: a reference text of CNS pathology / Mosby & Elsevier
Wong B / 2015 / The source of haemorrhage in traumatic basal subarachnoid haemorrhage / J Forensic Leg Med 29:18~23
Djokic V / 2003 / Medicolegal diagnostic value and clinical significance of traumatic incomplete tears of the basilar artery / Am J Forensic Med Pathol 24:208~213
Itabashi HH / 2007 / Foresensic neuropathology / Elsevier Inc
Ellison D / 2013 / Neuropathology: a reference text of CNS pathology / Mosby & Elsevier
Wong B / 2015 / The source of haemorrhage in traumatic basal subarachnoid haemorrhage / J Forensic Leg Med 29:18~23
Djokic V / 2003 / Medicolegal diagnostic value and clinical significance of traumatic incomplete tears of the basilar artery / Am J Forensic Med Pathol 24:208~213
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