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Year : 2017  |  Volume : 16  |  Issue : 2  |  Page : 32-35

Intracranial hematomas in fatal closed head injury a postmortem study

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BACKGROUND: Intracranial hematomas is an important cause of death in closed head injury, autopsy findings is the final way to determine the types, extent & associated findings of these hematomas. OBJECTIVE: To compare the incidence of brain pathology as a cause of death in patients with isolated head injury and those with multiple organ injuries. PATIENT & METHODS: One hundred consecutive bodies who were victims of fatal closed head injury (Group A) in the forensic medicine institute from jan.2004 to jan 2007 were included in this study, in addition a control study (Group B) of 100 consecutive victims of closed head & body injury with overt and non overt head injury signs. RESULTS: Group A (patients with pure head injury signs) Fifty five out of one hundred (55%) were having ICH , In which SDH (pure or combined) constitutes 35% of all cases. In addition 45% were having a brain edema &/or herniation. Group B (patients with multiple organ injury signs) The majority 49% were having brain ischemia. CONCLUSION: 1-ICH are important causes of death in fatal closed head injury in which SDH are a majority in these hematomas. 2-As a non hemorrhagic cause brain edema &/or herniation were a major factor. 3-Multiply body injury showed mainly brain ischemia.

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