Thiel M
Z Rechtsmed. 1982;88(4):249-56. doi: 10.1007/BF00198659.
The concept of internal decapitation comprises lesions within the skull base, upper spinal column with partial or complete destruction of the cervical part of the medulla. By means of casualties due to internal decapitation we demonstrate that, besides the known causes, a rotational damage at the juncture of the upper spinal column to the skull base as well as fractures by axial stretching may cause such traumas. A decrease of such accident's consequences is hardly possible because of the amount of energy involved causing the damage. Due to a steady increase of traffic, particularly by motor-bicycle, we shall have to cope with more cases of this kind of damage.
“内部断头”的概念包括颅底、上脊柱内的损伤，延髓颈部部分或完全破坏。通过“内部断头”导致的伤亡情况，我们证明，除了已知原因外，上脊柱与颅底交界处的旋转损伤以及轴向拉伸导致的骨折也可能造成此类创伤。由于造成损伤的能量巨大，几乎不可能减少此类事故的后果。由于交通量持续增加，尤其是摩托车交通量的增加，我们将不得不应对更多此类损伤的病例。
