Wolf D A, Veasey S P, Wilson S K, Adame J, Korndorffer W E
University of Texas Medical Branch, Department of Pathology, Galveston, TX, USA.
J Forensic Sci. 1998 Nov;43(6):1241-3.
Reports of sudden death associated with minor head trauma in adults with the Chiari I malformation are rare. We describe two such cases, occurring in a 71-year-old individual and in a 22-year-old individual. In both cases, postmortem examination revealed prominent cerebellar tonsillar herniation and, in one, associated tonsillar sclerosis and hydrocephalus. Evidence of trauma was minimal in both, and was not sufficient to explain these fatalities. We describe the neuropathologic findings and discuss the differential diagnostic considerations in these cases of sudden death. The implications regarding manner of death are also emphasized.
关于Chiari I型畸形成年患者中与轻度头部创伤相关的猝死报告很少。我们描述了两例这样的病例，分别发生在一名71岁个体和一名22岁个体身上。在这两例病例中，尸检均显示明显的小脑扁桃体疝，其中一例伴有扁桃体硬化和脑积水。两例中的创伤证据都很少，不足以解释这些死亡事件。我们描述了神经病理学发现，并讨论了这些猝死病例的鉴别诊断考虑因素。还强调了关于死亡方式的影响。
