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Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography
In a few cases, postmortem computed tomography angiography (PMCTA) is effective in postmortem detection of cortical artery rupture causing subdural hematoma (SDH), which is difficult to detect at autopsy. Here, we explore the usefulness and limitations of PMCTA in detecting the sites of cortical art...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340203/ https://www.ncbi.nlm.nih.gov/pubmed/37443680 http://dx.doi.org/10.3390/diagnostics13132286 |
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author | Funayama, Kazuhisa Koyama, Akihide Katsuragi-Go, Rieka Aoyama, Takashi Watanabe, Hiraku Takahashi, Naoya Takatsuka, Hisakazu |
author_facet | Funayama, Kazuhisa Koyama, Akihide Katsuragi-Go, Rieka Aoyama, Takashi Watanabe, Hiraku Takahashi, Naoya Takatsuka, Hisakazu |
author_sort | Funayama, Kazuhisa |
collection | PubMed |
description | In a few cases, postmortem computed tomography angiography (PMCTA) is effective in postmortem detection of cortical artery rupture causing subdural hematoma (SDH), which is difficult to detect at autopsy. Here, we explore the usefulness and limitations of PMCTA in detecting the sites of cortical arterial rupture for SDH. In 6 of 10 cases, extravascular leakage of contrast material at nine different places enabled PMCTA to identify cortical arterial rupture. PMCTA did not induce destructive arterial artifacts, which often occur during autopsy. We found that, although not in all cases, PMCTA could show the site of cortical arterial rupture causing subdural hematoma in some cases. This technique is beneficial for cases of SDH autopsy, as it can be performed nondestructively and before destructive artifacts from the autopsy occur. |
format | Online Article Text |
id | pubmed-10340203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103402032023-07-14 Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography Funayama, Kazuhisa Koyama, Akihide Katsuragi-Go, Rieka Aoyama, Takashi Watanabe, Hiraku Takahashi, Naoya Takatsuka, Hisakazu Diagnostics (Basel) Article In a few cases, postmortem computed tomography angiography (PMCTA) is effective in postmortem detection of cortical artery rupture causing subdural hematoma (SDH), which is difficult to detect at autopsy. Here, we explore the usefulness and limitations of PMCTA in detecting the sites of cortical arterial rupture for SDH. In 6 of 10 cases, extravascular leakage of contrast material at nine different places enabled PMCTA to identify cortical arterial rupture. PMCTA did not induce destructive arterial artifacts, which often occur during autopsy. We found that, although not in all cases, PMCTA could show the site of cortical arterial rupture causing subdural hematoma in some cases. This technique is beneficial for cases of SDH autopsy, as it can be performed nondestructively and before destructive artifacts from the autopsy occur. MDPI 2023-07-06 /pmc/articles/PMC10340203/ /pubmed/37443680 http://dx.doi.org/10.3390/diagnostics13132286 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Funayama, Kazuhisa Koyama, Akihide Katsuragi-Go, Rieka Aoyama, Takashi Watanabe, Hiraku Takahashi, Naoya Takatsuka, Hisakazu Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography |
title | Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography |
title_full | Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography |
title_fullStr | Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography |
title_full_unstemmed | Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography |
title_short | Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography |
title_sort | bleeding-source exploration in subdural hematoma: observational study on the usefulness of postmortem computed tomography angiography |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340203/ https://www.ncbi.nlm.nih.gov/pubmed/37443680 http://dx.doi.org/10.3390/diagnostics13132286 |
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