Traumatic Axonal Injury: A Case Report.


Journal

The American journal of forensic medicine and pathology
ISSN: 1533-404X
Titre abrégé: Am J Forensic Med Pathol
Pays: United States
ID NLM: 8108948

Informations de publication

Date de publication:
Sep 2020
Historique:
pubmed: 4 7 2020
medline: 27 1 2021
entrez: 4 7 2020
Statut: ppublish

Résumé

A 17-year-old prisoner was found unconscious during a morning check. The previous night, he had been struck on the chin multiple times by one of the other inmates. The patient remained unconscious and eventually died after nearly 1.5 months of care. The primary task of the forensic pathological examination was to investigate the events leading to his death; therefore, it was necessary to examine whether there was a connection between the abuse and eventual death. In our case, the key element was the repetitive, mild-to-moderate force in abuse, resulting in grade I traumatic diffuse axonal damage. Due to progressive brain edema, aspiration subsequently developed, which eventually resulted in irreversible hypoxic damage of the brain.

Identifiants

pubmed: 32618582
doi: 10.1097/PAF.0000000000000587
pii: 00000433-202009000-00012
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

211-212

Références

Adams JH, Doyle D, Ford I, et al. Diffuse axonal injury in head injury: definition, diagnosis and grading. Histopathology. 1989;15:49–59.
Erb DE, Povlishock JT. Axonal damage in severe traumatic brain injury: an experimental study in cat. Acta Neuropathol. 1988;76:347–358.
Davidsson J, Risling M. A new model to produce sagittal plane rotational induced diffuse axonal injuries. Front Neurol. 2011;2:41.
Xiaoshengi H, Guitao Y, Xiang Z, et al. A morphological study of diffuse axonal injury in a rat model by lateral head rotation trauma. Acta Neurol Belg. 2010;110:49–56.
Vanezis P, Chan KK, Scholtz CL. White matter damage following acute head injury. Forensic Sci Int. 1987;35:1–10.
Geddes JF, Vowles GH, Beer TW, et al. The diagnosis of diffuse axonal injury: implications for forensic practice. Neuropathol Appl Neurobiol. 1997;23:339–347.
Oehmichen M, Meissner C, Schmidt V, et al. Axonal injury—a diagnostic tool in forensic neuropathology? A review. Forensic Sci Int. 1998;95:67–83.

Auteurs

Andras Szecsi (A)

From the Hungarian Institute for Forensic Sciences, Regional Institute, Regional Institute, Miskolc.

Krisztina Danics (K)

Neuropathology and Prion Disease Referral Centre, Semmelweis University, Budapest, Hungary.

Agoston Kondracs (A)

From the Hungarian Institute for Forensic Sciences, Regional Institute, Regional Institute, Miskolc.

Zoltan Szollosi (Z)

From the Hungarian Institute for Forensic Sciences, Regional Institute, Regional Institute, Miskolc.

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