Document Detail


Medicolegal diagnostic value and clinical significance of traumatic incomplete tears of the basilar artery.
MedLine Citation:
PMID:  12773864     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Vesna Djokic; Slobodan Savic; Tatjana Atanasijevic
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2003-05-29     Completed Date:  2003-10-02     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  208-13     Citation Subset:  IM    
Affiliation:
Institute for Forensic Medicine, Belgrade School of Medicine, Yugoslavia. brana.s@EUnet.yu
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic / 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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