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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...

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Autores principales: Funayama, Kazuhisa, Koyama, Akihide, Katsuragi-Go, Rieka, Aoyama, Takashi, Watanabe, Hiraku, Takahashi, Naoya, Takatsuka, Hisakazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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