继发于斜坡纵骨折的基底动脉撞击:一种罕见的与死后计算机断层造影相关的病例

IF 0.8 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Forensic Imaging Pub Date : 2023-09-18 DOI:10.1016/j.fri.2023.200564
Jack Garland , Trevor Watkins , Michelle Craigie , Nathan Milne , Beng Ong
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引用次数: 0

摘要

斜坡骨折继发的基底动脉卡压是一种极为罕见的与高能头部创伤相关的疾病。我们报告了第一个已发表的尸检计算机断层扫描(CT)血管造影与尸检CT血管造影结果的相关性,以及宏观和组织学验证图像。在这种情况下,头部撞击是从酒吧凳子上摔下来的。考虑到法医病理学中头部受伤的频率,斜坡骨折伴椎动脉或基底动脉卡压的可能性比以前认识到的要低。在头部创伤后非立即死亡的情况下,特别是在有证据表明后循环缺血性损伤的情况下。在可能的情况下,应进行尸检CT血管造影术,以期在必要时对椎动脉和基底动脉进行进一步的专业解剖。
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Basilar artery impingement secondary to longitudinal fracture of the clivus: A rare entity with postmortem computed tomography angiogram correlation

Basilar artery entrapment secondary to fracture of the clivus is an extremely rare entity that is associated with high-energy head trauma. We report the first published example with postmortem computed tomography (CT) angiographic correlation with antemortem CT angiography findings, as well as macroscopic and histological confirmatory images. In this case, the head impact was secondary to a fall from a bar stool. Given how often head injuries are encountered in forensic pathology, it is possible that clivus fractures with vertebral or basilar artery entrapment are less rare than has previously been recognised. This entity warrants consideration in cases of non-immediate death following head trauma, especially where there is evidence of posterior circulation ischaemic injury. Where possible, postmortem CT angiography should be undertaken, with a view for further specialised dissection of the vertebral arteries and basilar artery where indicated.

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来源期刊
Forensic Imaging
Forensic Imaging RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.20
自引率
27.30%
发文量
39
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