尸检血管造影检测到创伤性蛛网膜下腔出血中的椎动脉破裂。

Vertebral artery rupture in traumatic subarachnoid haemorrhage detected by postmortem angiography.

作者信息

Karhunen P J, Kauppila R, Penttilä A, Erkinjuntti T

机构信息

Department of Forensic Medicine, University of Helsinki, Finland.

出版信息

Forensic Sci Int. 1990 Feb;44(2-3):107-15. doi: 10.1016/0379-0738(90)90240-y.

DOI:10.1016/0379-0738(90)90240-y

PMID:2318467

Abstract

A fatal subarachnoid haemorrhage from a ruptured normal intracranial vertebral artery in a 49-year-old male, following a blow to the head, was revealed by a postmortem angiographic technique using radiopaque silicone rubber as a contrast medium vulcanizing at room temperature. No fracture of the atlas or connection between intracranial vessels and extracranial soft tissue haematoma could be visualized. We advocate the use of postmortem angiography in the diagnosis of suspected head trauma sustained in fights.

摘要

一名49岁男性因头部受击后，颅内正常椎动脉破裂导致致命性蛛网膜下腔出血，通过使用室温下硫化的不透射线硅橡胶作为造影剂的尸检血管造影技术得以揭示。未发现寰椎骨折或颅内血管与颅外软组织血肿之间的联系。我们主张在诊断疑似斗殴所致头部外伤时采用尸检血管造影术。