Document Detail

Unusually extensive head trauma in a hydraulic elevator accident: post-mortem MSCT findings, autopsy results and scene reconstruction.
MedLine Citation:
PMID:  18761316     Owner:  NLM     Status:  MEDLINE    
Accidental or intentional falls from a height are a form of blunt trauma and occur frequently in forensic medicine. Reports describing elevator accidents as a small subcategory of falls from heights are rare in the medical literature and no report on injury patterns or scene reconstruction of such an accident was found. A case of an accident in a hydraulic elevator with a man falling 3m was examined using post-mortem multi-slice computed tomography (MSCT) and autopsy. The man suffered an unusually extensive trauma and died at the scene. Post-mortem MSCT examination showed a comminute fracture of the skull, the right femur and the first lumbar vertebra. Severe lacerations of the brain with epidural, subdural and subarachnoidal haemorrhages over both hemispheres were diagnosed. Autopsy confirmed these findings. To reconstruct the accident we used radiological and autopsy results as well as findings at the scene.
Christina Jacobsen; Corinna A Schön; Beat Kneubuehl; Michael J Thali; Emin Aghayev
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-07-11
Journal Detail:
Title:  Journal of forensic and legal medicine     Volume:  15     ISSN:  1752-928X     ISO Abbreviation:  -     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-01     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101300022     Medline TA:  J Forensic Leg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  462-6     Citation Subset:  IM    
Centre for Forensic Medicine and Virtopsy, University of Bern, Bern, Switzerland.
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MeSH Terms
Accidents, Occupational*
Craniocerebral Trauma / pathology*
Elevators and Escalators*
Femoral Fractures / pathology
Forensic Pathology
Fractures, Comminuted / pathology*
Hemorrhage / pathology
Imaging, Three-Dimensional
Lumbar Vertebrae / injuries,  pathology
Middle Aged
Skull Fractures / pathology*
Spinal Fractures / pathology
Tomography, X-Ray Computed / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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