Boulnemour Keenan, Prahlow Joseph A
Department of Neurosurgery, University of Kentucky College of Medicine, Lexington, KY, USA.
Department of Pathology, St. Louis University School of Medicine, St. Louis, MO, USA.
Forensic Sci Med Pathol. 2024 Oct 7. doi: 10.1007/s12024-024-00901-9.
To provide example cases within the peer-reviewed literature of a phenomenon related to certain gunshot wounds of the head where the bullet pathway courses along the inner table of the skull. Presentation of two cases discovered at medicolegal autopsy. The two cases provide radiologic and autopsy demonstration of bullet pathways within the head where the projectiles track along the inner aspect of the cranium, in a circumferential manner, such that the bullets are recovered in a location on the opposite side of the brain/head, with no projectile pathway within the intervening deep structures of the brain. The cases provide photographic and radiologic autopsy documentation of the phenomenon, which is described in forensic pathology textbooks and rare peer-reviewed literature sources, but without photographic demonstration. Recognition of this phenomenon in the clinical setting, or when correlating autopsy external and radiologic findings with historical information, may provide an explanation for situations where immediate incapacitation does not occur following a gunshot wound of the head.
为在同行评审文献中提供与某些头部枪伤相关现象的示例病例，其中子弹路径沿着颅骨内板走行。呈现两例在法医学尸检中发现的病例。这两例病例提供了头部子弹路径的放射学和尸检演示，其中射弹沿着颅骨内侧面呈圆周状走行，使得子弹在脑/头部另一侧的位置被找到，在脑的中间深部结构中没有射弹路径。这些病例提供了该现象的照片和放射学尸检记录，法医病理学教科书和罕见的同行评审文献来源中有对此现象的描述，但没有照片演示。在临床环境中认识到这一现象，或者在将尸检外部和放射学发现与历史信息相关联时，可能为头部枪伤后未立即丧失能力的情况提供一种解释。
