Arc-like curvilinear bullet pathways along inner surface of skull - two cases.

Bullet Cranium Firearm Forensic pathology Gunshot wound Ricochet

Journal

Forensic science, medicine, and pathology
ISSN: 1556-2891
Titre abrégé: Forensic Sci Med Pathol
Pays: United States
ID NLM: 101236111

Informations de publication

Date de publication:
07 Oct 2024
Historique:
accepted: 27 09 2024
medline: 7 10 2024
pubmed: 7 10 2024
entrez: 7 10 2024
Statut: aheadofprint

Résumé

To provide example cases within the peer-reviewed literature of a phenomenon related to certain gunshot wounds of the head where the bullet pathway courses along the inner table of the skull. Presentation of two cases discovered at medicolegal autopsy. The two cases provide radiologic and autopsy demonstration of bullet pathways within the head where the projectiles track along the inner aspect of the cranium, in a circumferential manner, such that the bullets are recovered in a location on the opposite side of the brain/head, with no projectile pathway within the intervening deep structures of the brain. The cases provide photographic and radiologic autopsy documentation of the phenomenon, which is described in forensic pathology textbooks and rare peer-reviewed literature sources, but without photographic demonstration. Recognition of this phenomenon in the clinical setting, or when correlating autopsy external and radiologic findings with historical information, may provide an explanation for situations where immediate incapacitation does not occur following a gunshot wound of the head.

Identifiants

pubmed: 39373952
doi: 10.1007/s12024-024-00901-9
pii: 10.1007/s12024-024-00901-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

CDC – Fast Facts. : Firearm Injury and Death - https://www.cdc.gov/firearm-violence/data-research/facts-stats/ - accessed June 17, 2024.
Kirkpatrick JB, DiMaio V. Civilian gunshot wounds of the brain. J Neurosurg. 1978;49(2):185–98.
doi: 10.3171/jns.1978.49.2.0185 pubmed: 671073
Quatrehomme G, Iscan MY. Characteristics of gunshot wounds in the skull. J Forensic Sci. 1999;44(3):568–76.
doi: 10.1520/JFS14511J pubmed: 10408112
La Garde LA. Gunshot Injuries, 2nd edition. New York: William Wood and Co. 1916.
DiMaio VJM. Gunshot Wounds – Practical Aspects of Firearms, Ballistics, and Forensic Techniques, 3rd edition. Boca Raton, FL: CRC Press. 2016;102.
Berryman HE. A systematic approach to the interpretation of gunshot trauma to the cranium. Forensic Sci Int. 2019;301:306–17.
doi: 10.1016/j.forsciint.2019.05.019 pubmed: 31207550
Adelson L. The Pathology of Homicide. Springfield, IL: Charles C. Thomas. 1974;265.
Spitz WU, Diaz FJ. Spitz and Fisher’s Medicolegal Investigation of Death – Guidelines for he Application of Pathology to Crime Investigation, 5th edition. Springfield, IL: Charles C. Thomas. 2020;355.
Davis GJ, Hunsaker JC III. An atypical gunshot wound of the head: putting the scent an autopsy together. Forensic Pathology: ASCP Check Sample; 1997. pp. FP97–9.
Adelson L. The Pathology of Homicide. Springfield, IL: Charles C. Thomas. 1974;290.
DiMaio VJM. Gunshot Wounds – Practical Aspects of Firearms, Ballistics, and Forensic Techniques, 3rd edition. Boca Raton, FL: CRC Press. 2016;234-5.
Ettinger B, Sidney S, Cummings SR, Libanati C, Bikle DD, Tekawa IS, Tolan K, Steiger P. Racial differences in bone density between young adult black and white subjects persist after adjustment for anthropometric, lifestyle, and biochemical differences. J Clin Endocrinol Metab. 1997;82(2):429–34.
pubmed: 9024231
Can M, Yildirim N, Atac GK. Dissecting firearm injury to the head and neck with non-linear bullet trajectory: a case report. Forensic Sci Int. 2010;197(1–3):e13–7.
doi: 10.1016/j.forsciint.2009.12.050 pubmed: 20106613
Karger B. Penetrating gunshots to the head and lack of immediate incapacitation. I. Wound ballistics and mechanism of incapacitation. Int J Legal Med. 1995;108(2):53–61.
doi: 10.1007/BF01369905 pubmed: 8547159
Karger B. Penetrating gunshots to the head and lack of immediate incapacitation. II. Review of case reports. Int J Legal Med. 1995;108(3):117–26.
doi: 10.1007/BF01844822 pubmed: 8664147
Hejna P, Safr M, Zatopkova L. The ability to act – multiple suicidal gunshot wounds. J Forensic Legal Med. 2012;19(1):1–6.
doi: 10.1016/j.jflm.2011.06.017
Karger B, Brinkmann B. Multiple gunshot suicides: potential for physical activity and medico-legal aspects. Int J Legal Med. 1997;110(4):188–92.
doi: 10.1007/s004140050065 pubmed: 9274942
Aesch B, Lefrancq T, Destrieux C, Saint-Martin P. Fatal gunshot wound to the head with lack of immediate incapacitation. Am J Forensic Med Pathol. 2014;35(2):86–8.
doi: 10.1097/PAF.0000000000000087 pubmed: 24781406
DiMaio VJM. Gunshot Wounds – Practical Aspects of Firearms, Ballistics, and Forensic Techniques, 3rd edition. Boca Raton, FL: CRC Press. 2016;226.
Itabashi HH. Injuries due to firearms and other missile-launching devices. In: Itabashi H, Andre JM, Tomiyasu U, et al. editors. Forensic neuropathology – a practical review of the fundamentals. Amsterdam; London: Elsevier Academic; 2004. pp. 232–7.
Thiex R, Thron A, Uhl E. Delayed oedema in the pyramidal tracts remote from intracerebral missile path following gunshot injury. Neuroradiology. 2004;46(2):140–3.
doi: 10.1007/s00234-003-1141-7 pubmed: 14689125

Auteurs

Keenan Boulnemour (K)

Department of Neurosurgery, University of Kentucky College of Medicine, Lexington, KY, USA.

Joseph A Prahlow (JA)

Department of Pathology, St. Louis University School of Medicine, St. Louis, MO, USA. jprahlow@protonmail.com.

Classifications MeSH