Sioutas Georgios, Karakasi Maria-Valeria, Kapetanakis Stylianos, Pavlidis Pavlos
Department of Anatomy, School of Medicine, Democritus University of Thrace, Dragana, GR 68100, Alexandroupolis, Greece.
Laboratory of Forensic Sciences, School of Medicine, Democritus University of Thrace, Dragana, GR 68100, Alexandroupolis, Greece.
Chin J Traumatol. 2017 Jun;20(3):180-182. doi: 10.1016/j.cjtee.2017.01.003. Epub 2017 Mar 16.
A 45-year-old male was autopsied. He had fallen backwards from a two-stairs height to the ground and passed away. A skull fracture was detected in the left occipital area, extending up to the left side of the skull base. The patient's death occurred due to the very low thickness of the calvarial bones, which led to the aforementioned fracture, and in turn resulted in subarachnoid hemorrhage and death. The cortical thickness was measured and compared with average values at standardized points. Uniform bone thinning was confirmed rather than localized. Calvarial thinning may result from various conditions. In the present case study, however, the exact mechanism which led to the low thickness of the calvarial bones of the patient is undetermined. Death due to the susceptible structure and fracture of calvarial bones has rarely been reported throughout relevant literature.
对一名45岁男性进行了尸检。他从两级台阶的高度向后摔倒在地后死亡。在左枕部发现颅骨骨折，延伸至颅底左侧。患者的死亡是由于颅骨厚度极低，导致上述骨折，进而引起蛛网膜下腔出血并导致死亡。测量了皮质厚度并与标准化点的平均值进行比较。确认是均匀的骨质变薄而非局部变薄。颅骨变薄可能由多种情况引起。然而，在本病例研究中，导致患者颅骨厚度低的确切机制尚不确定。在整个相关文献中，因颅骨结构易损和骨折导致死亡的情况鲜有报道。
