Contribution of Antemortem Computed Tomography Findings to Cause of Death Determination: An Unusual Fatal Stroke
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Camille Rérolle [1] ; Julien Pucheux [1] ; Thierry Lefrancq [2] ; Céline Barrault [1] ; Pauline Saint-Martin [1]
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[1] François Rabelais University
François Rabelais University
Arrondissement de Tours, Francia
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[2] Centre de Pathologie Le Vauban Nevers France
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- Localización: Journal of forensic sciences, ISSN-e 1556-4029, ISSN 0022-1198, Vol. 60, Nº. 4, 2015, págs. 1095-1098
- Idioma: inglés
- Texto completo no disponible (Saber más ...)
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Resumen
In the case reported here, the antemortem computed tomography scan (CT scan) was essential in the forensic investigation. A 32-year-old man was found fully awake with a facial abrasion, after what seemed to be a car accident. He lost consciousness suddenly one hour after initial management. Successive CT scan showed a facial fracture and a metallic foreign body in the carotid canal associated with an occlusion/dissection of the left internal carotid, a pseudoaneurysm, and a carotid-cavernous fistula. The victim died from a stroke. Autopsy confirmed that the facial abrasion was a gunshot entrance wound, the metallic foreign body being a projectile. Intracranial vascular injuries linked with gunshot wounds are most of the time isolated and due to pelet embolism. The observed vascular injury association has never been described in the existing literature. The CT scan provided a better understanding of the chronology of events that led to death
