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Anteromedial striatum and globus pallidus infarcts: Uncommon complications of cerebral herniation in the setting of acute subdural hemorrhage. 前内侧纹状体和苍白球梗死:急性硬膜下出血背景下脑疝的罕见并发症。
IF 1.8 Pub Date : 2025-11-11 DOI: 10.1111/1556-4029.70224
Christopher H Dampier, Nicholas A Boire, Kamilah Fernandez, Juan C Troncoso

Herniation of the temporal lobe through the tentorial notch often leads to compression of the ipsilateral posterior cerebral artery and stretching of the ipsilateral oculomotor nerve. Arterial compression classically results in infarcts of the inferior temporal and occipital lobes. Herniation of the cingulate gyrus beneath the falx cerebri often leads to compression of branches of the ipsilateral anterior cerebral artery, including the pericallosal artery, which classically results in infarcts of the cingulate gyrus and medial corpus callosum. A less common consequence of transtentorial herniation is compression of perforating branches from the internal carotid and anterior cerebral arteries supplying the inferomedial anterior basal ganglia. Compression of the anterior choroidal artery, a branch of the internal carotid, and the recurrent artery of Heubner, a branch of the anterior cerebral artery, can cause infarcts of the ipsilateral anteromedial striatum and globus pallidus, but these are rarely seen at autopsy. In this report, we present the case of a 51-year-old lady with a large left acute subdural hemorrhage (SDH). At autopsy, we observed left subfalcine and transtentorial herniations with a typical pattern of secondary infarcts due to compression of the posterior and anterior cerebral arteries. In addition, we observed cavitation of the left inferomedial anterior caudate and putamen and globus pallidus internus due to compression of perforating arteries, including the left anterior choroidal artery and the left recurrent artery of Heubner. This case illustrates perforating artery infarcts, an uncommon pattern of secondary ischemic injury, in the setting of SDH.

经幕状切迹的颞叶突出常导致同侧大脑后动脉受压和同侧动眼神经拉伸。动脉压迫通常会导致颞下叶和枕叶的梗死。大脑镰下的扣带回疝出通常会导致同侧大脑前动脉分支受压,包括胼胝体周围动脉,这通常会导致扣带回和内侧胼胝体的梗死。幕间疝的一个不太常见的后果是压迫内颈动脉和供应内侧前基底神经节的大脑前动脉的穿支。压迫前脉络膜动脉(颈内动脉分支)和Heubner复发动脉(大脑前动脉分支)可导致同侧前内侧纹状体和白球梗死,但在尸检中很少见到。在这个报告中,我们提出了一个51岁的女性与一个大的急性左硬膜下出血(SDH)的情况。在尸检中,我们观察到左侧镰下和幕下疝,由于大脑后动脉和前动脉的压迫,伴有典型的继发性梗死。此外,我们观察到由于穿孔动脉(包括左侧脉络膜前动脉和左侧Heubner复发动脉)的压迫,左侧尾状前内侧内侧、壳核和苍白球内肌出现空化。这个病例说明了穿孔动脉梗死,继发性缺血性损伤的一种罕见的模式,在SDH的设置。
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引用次数: 0
Three methods of estimating age-at-death using three different regions on the os coxa. 三种估算死亡年龄的方法使用了臀部的三个不同区域。
IF 1.8 Pub Date : 2025-11-10 DOI: 10.1111/1556-4029.70219
Sthembiso S Mkhonza, Ntombifuthi P Ngubane, Okikioluwa S Aladeyelu, Carmen O Rennie

Understanding population diversity is necessary for the development of forensic anthropology methods that address population affinity. The commonly used age-at-death estimation methods for adult skeletal remains are based on American data sets, which include individuals with both European and African population affinities. Evaluating these methods on different skeletal collections worldwide is hampered by our incomplete understanding of population diversity. Hence, this study evaluated three methods of estimating age-at-death using the pubic symphyseal surface, auricular surface, and acetabulum regions on the os coxa. A total sample size of 143 os coxae from Black South African and White South African population groups was examined in KwaZulu-Natal (KZN). The accuracy (chi-squared test of independence), bias, absolute error (mean absolute error, Wilcoxon signed-rank test), interobserver, and intraobserver correlation coefficients (Cronbach's alpha test) were recorded for each method. The auricular surface method scored the highest accuracy; however, the reliability of this method is still questionable, as it also scored the highest absolute error and bias among the three methods on both population groups. Compared to the pubic symphyseal surface and auricular surface methods, the acetabulum method showed promise, as it maintained lower bias and absolute error and was consistent when re-evaluated in both populations. Laterality was insignificant for any of the three methods. Sex was insignificant for the acetabulum and auricular surface methods, but significant for the pubic symphyseal surface method in the White South African samples and insignificant in Black South African samples. These results demonstrated the need for creating population-specific standards, including precisely defined age ranges and reference samples catered to the diverse South African populations.

了解人口多样性对于解决人口亲和力的法医人类学方法的发展是必要的。常用的成人骨骼遗骸死亡年龄估计方法是基于美国的数据集,其中包括欧洲和非洲人口亲缘关系的个体。由于我们对种群多样性的不完全了解,在世界范围内对不同骨骼标本进行评估的方法受到了阻碍。因此,本研究评估了利用耻骨联合表面、耳廓表面和髋臼区域估算死亡年龄的三种方法。在夸祖鲁-纳塔尔省(KZN)检查了来自南非黑人和南非白人人口群体的总样本量为143名coxae。记录每种方法的准确性(独立性的卡方检验)、偏倚、绝对误差(平均绝对误差,Wilcoxon符号秩检验)、观察者间和观察者内相关系数(Cronbach’s alpha检验)。耳面法准确率最高;然而,该方法的可靠性仍然值得怀疑,因为它在两组人群中也获得了三种方法中最高的绝对误差和偏差。与耻骨联合面法和耳廓面法相比,髋臼法表现出良好的前景,因为它保持了较低的偏差和绝对误差,并且在两种人群中重新评估时是一致的。三种方法的侧边性均不显著。在南非白人样本中,髋臼和耳廓表面法的性别差异不显著,但耻骨联合表面法的性别差异显著,南非黑人样本的性别差异不显著。这些结果表明,需要制定针对不同人口的标准,包括精确界定的年龄范围和参考样本,以满足不同的南非人口。
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引用次数: 0
Implications of uniparental disomy in forensic kinship testing: A case study of paternal isodisomy on chromosome 3. 单亲二体在法医亲属检验中的意义:以3号染色体父系同型二体为例。
IF 1.8 Pub Date : 2025-11-02 DOI: 10.1111/1556-4029.70218
Hannah Fontanil, Sharlize Pedroza Matute, Thomas Haizel, Sasitaran Iyavoo

In typical inheritance, a child receives one chromosome of each pair from each parent. In rare cases, however, both chromosomes may be inherited from the same parent, a phenomenon known as uniparental disomy (UPD). In forensic kinship testing, UPD can lead to Mendelian inconsistencies between parent and child, increasing the risk of inconclusive or erroneous interpretations. In this case study, inconsistencies between the mother and child during paternity testing prompted further investigation. Parentage was confirmed (probability of maternity and paternity >99.99%), using autosomal short tandem repeat (STR) typing. Additional analyses were performed, including STR sequencing via next-generation sequencing (NGS) and single nucleotide polymorphism (SNP) microarray testing across all trio samples. A total of 4 STRs and 273 SNPs on Chromosome 3 were examined, confirming complete paternal isodisomy in the child. Alternative kinship scenarios were then evaluated to assess the impact of UPD on relationship testing. While paternity results remained conclusive, maternal and secondary relationship analyses produced inconclusive and false outcomes, even when up to 42 STR loci were included. This study highlights the importance of recognizing UPD and its genotypic features in forensic casework. To mitigate the risk of misinterpretation, forensic scientists should remain vigilant for multiple inconsistencies restricted to a single chromosome, supported by the implementation of software alerts designed to flag such patterns.

在典型的遗传中,孩子从父母双方各得到一对染色体中的一条。然而,在极少数情况下,两条染色体可能遗传自同一亲本,这种现象被称为单亲二体(UPD)。在法医亲属关系测试中,UPD可能导致父母和孩子之间的孟德尔不一致,增加了不确定或错误解释的风险。在这个案例研究中,母亲和孩子在亲子鉴定期间的不一致促使了进一步的调查。采用常染色体短串联重复(STR)分型确定亲缘关系(母系和父系的概率为99.99%)。进行了其他分析,包括通过下一代测序(NGS)进行STR测序和单核苷酸多态性(SNP)微阵列测试对所有三人样本进行检测。在3号染色体上共检测了4个STRs和273个SNPs,证实了孩子的完全父亲同位体。然后评估其他亲属关系情景,以评估UPD对关系测试的影响。虽然父亲的结果仍然是结论性的,但母亲和次要关系分析产生了不确定和错误的结果,即使包括多达42个STR位点。本研究强调了识别UPD及其基因型特征在法医案件工作中的重要性。为了减少误解的风险,法医科学家应该对限于单个染色体的多重不一致保持警惕,并通过实施旨在标记此类模式的软件警报来支持。
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引用次数: 0
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Journal of forensic sciences
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