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[颅骨发育异常的法医学意义]

[Forensic significance of anomalies in skull development].

作者信息

Pilija Vladimir, Vuković Radenko, Mihalj Marija, Savović Slobodan, Erić Mirela

机构信息

Zavod za anatomiju, Medicinski fakultet Novi Sad.

出版信息

Med Pregl. 2003 Nov-Dec;56(11-12):571-3.

PMID:15080053
Abstract

INTRODUCTION

In the course of bone tissue development some genetic disorders such as exostoses and enostoses, may occur. Exostoses and enostoses represent bone tissue hyperplasia that can develop at any part of skeleton. Neurotrauma can cause fatal biological consequences, which is directly associated with skill development abnormalities.

CASE REPORT

This is a case report of a male cadaver 36 years of age. The autopsy revealed massive hemorrhage on the left side of the neck and the right side of the lower jaw. A major fissure of the arterial wall was found on the basilar artery. A bony, wart-like excrescence was found on the clivus of the occipital bone.

DISCUSSION

Coinciding ruptures and consequential bleeding from basilar artery with presence of development abnormalities in the clivus region, suggest that one has to clearly distinguish the result of the injury from anomalies already existing in the skull. The position of the attacker can be determined by concise and objective investigation.

CONCLUSION

This is a case report of an anomaly in bone development: a bony, wart-like excrescence on the right side of the clivus. Due to neurotrauma and consequential sliding of brain structures, the damage of basilar artery and of the bony excrescence occurred, which led to bleeding and fatal outcome.

摘要

引言

在骨组织发育过程中,可能会出现一些遗传性疾病,如外生骨疣和内生骨疣。外生骨疣和内生骨疣代表骨组织增生,可发生在骨骼的任何部位。神经创伤可导致致命的生物学后果,这与技能发育异常直接相关。

病例报告

这是一例36岁男性尸体的病例报告。尸检发现颈部左侧和下颌右侧有大量出血。在基底动脉上发现动脉壁有一条主要裂缝。在枕骨斜坡上发现一个骨性的、疣状赘生物。

讨论

基底动脉同时破裂并随之出血,且斜坡区域存在发育异常,这表明必须明确区分损伤结果与颅骨中已存在的异常情况。攻击者的位置可通过简洁客观的调查来确定。

结论

这是一例骨发育异常的病例报告:斜坡右侧有一个骨性的、疣状赘生物。由于神经创伤以及脑结构随之滑动,导致基底动脉和骨性赘生物受损,进而导致出血和致命后果。

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