Arroyo-Navarrete Matías, Gómez-Jiménez Lourdes, Fonseca Gabriel M
Centro de Investigación en Odontología Legal y Forense (CIO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.
Master's Program in Dentistry, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.
Forensic Sci Med Pathol. 2025 Mar;21(1):469-471. doi: 10.1007/s12024-024-00844-1. Epub 2024 Jun 1.
Eclampsia is one of the most dangerous complications of pregnancy and has a high incidence in developing countries. It is characterized by coma and the occurrence of generalized tonic-clonic seizures in pregnant women with hypertension. Deep bites on the tongue and other orofacial injuries have been described as consequences of these seizures. We present a case of death associated with eclampsia in which the bite during the seizure episode caused almost total amputation of an enlarged tongue (macroglossia). The medico-legal value of this finding and the situation due to antecedent pathological conditions and lack of routine screening in pregnant women who may migrate legally or illegally to give birth with better medical care are discussed.
子痫是妊娠最危险的并发症之一，在发展中国家发病率很高。其特征是患有高血压的孕妇出现昏迷和全身性强直阵挛发作。舌部深度咬伤和其他口腔面部损伤被描述为这些发作的后果。我们报告一例与子痫相关的死亡病例，其中发作期间的咬伤导致肿大的舌头（巨舌症）几乎完全离断。本文讨论了这一发现的法医学价值，以及由于先前的病理状况和缺乏对可能合法或非法迁移以获得更好医疗护理分娩的孕妇进行常规筛查所导致的情况。
