Matsumoto H, Yamamoto K
Department of Legal Medicine, Kyoto University Faculty of Medicine, Japan.
Nihon Hoigaku Zasshi. 1993 Aug;47(4):336-9.
The incidence of sudden death due to undiagnosed primary intracranial tumor is low in forensic autopsy. The cause of death in a 20-year-old male found dead in his dormitory room was glioblastoma multiforme in the left temporal lobe. The direct cause of death was hemorrhage in the tumor. Three nights before the discovery of his body, he had several episodes of vomiting and had been absent from work since that time. On discovery of the body, it was thought that he had been dead for about 2 days. About 4 months before his death, he consulted an eye doctor for "fatigue of the eyes" and 1 month thereafter he visited the neurosurgical department of a hospital complaining headache. A diagnosis of tension headache was made; the possibility of brain tumor appears not to have been considered. A causal relationship between head trauma and hemorrhage in the tumor was excluded based on the circumstantial evidence.
在法医尸检中，因未被诊断出的原发性颅内肿瘤导致的猝死发生率较低。一名20岁男性被发现死于宿舍房间，其死因是左颞叶多形性胶质母细胞瘤。直接死因是肿瘤内出血。在发现其尸体的三天前，他有几次呕吐发作，自那时起就没去上班。发现尸体时，据推测他已经死亡约两天。在他去世前约4个月，他因“眼睛疲劳”咨询了眼科医生，此后1个月，他因头痛前往一家医院的神经外科就诊。诊断为紧张性头痛；似乎未考虑脑肿瘤的可能性。根据间接证据排除了头部外伤与肿瘤内出血之间的因果关系。
