| Medicolegal diagnostic value and clinical significance of traumatic incomplete tears of the basilar artery. | |
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MedLine Citation:
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PMID: 12773864 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ruptures of arteries of the vertebrobasilary system are relatively frequent in medicolegal practice, and their origin may be both natural and violent. Tears that affects the whole thickness of the basilar artery cause subarachnoid hemorrhage (SAH), with an often rapid fatal outcome. 1-3 However, in some situations, arterial tears may be incomplete, involving the intima or both the intima and the media, but with preserved adventitia. 1, 4 Although such incomplete tears are not the source of immediate subarachnoid bleeding, their presence may be important from both a medicolegal and a clinical point of view. The aim of this article is to point out the significance of incomplete tears of basilar artery as a possible diagnostic sign of traumatic origin of SAH as well as a certain mechanism of injury, which involves forcible hyperextension and rotational movements of the head. The authors also describe their method of performing longitudinal section of the basilar artery, both at autopsy and for histologic examination, which is convenient for identifying multiple transversal incomplete tears of this blood vessel. The article is based on the analysis of three cases from the autopsy material of the Institute of Forensic Medicine in Belgrade. |
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Authors:
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Vesna Djokic; Slobodan Savic; Tatjana Atanasijevic |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of forensic medicine and pathology Volume: 24 ISSN: 0195-7910 ISO Abbreviation: Am J Forensic Med Pathol Publication Date: 2003 Jun |
Date Detail:
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Created Date: 2003-05-29 Completed Date: 2003-10-02 Revised Date: 2011-02-02 |
Medline Journal Info:
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Nlm Unique ID: 8108948 Medline TA: Am J Forensic Med Pathol Country: United States |
Other Details:
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Languages: eng Pagination: 208-13 Citation Subset: IM |
Affiliation:
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Institute for Forensic Medicine, Belgrade School of Medicine, Yugoslavia. brana.s@EUnet.yu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic
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legislation & jurisprudence* Adolescent Adult Autopsy / legislation & jurisprudence Basilar Artery / injuries*, pathology Brain Injuries / complications, diagnosis* Cardiac Tamponade / diagnosis, etiology Fatal Outcome Forensic Medicine / methods Heart Atria / injuries Humans Male Middle Aged Rupture / complications, diagnosis Skull Fractures / complications Subarachnoid Hemorrhage, Traumatic / diagnosis*, etiology Violence Wounds, Nonpenetrating / complications, diagnosis* Yugoslavia |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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