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Importance of effusion of blood under the dura mater in forensic medicine: A STROBE – compliant retrospective study

Subdural hemorrhage is commonly associated with mechanical brain injury and has a correspondingly high mortality rate. Subdural hematomas may immediately provoke symptoms or may be initially asymptomatic, with further symptoms evolving rapidly and fatally. The data regarding forensic autopsy of vict...

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Autores principales: Chmieliauskas, Sigitas, Anuzyte, Joginte Saule, Liucvaikyte, Julita, Laima, Sigitas, Jurolaic, Eleonora, Rocka, Saulius, Fomin, Dmitrij, Stasiuniene, Jurgita, Jasulaitis, Algimantas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181611/
https://www.ncbi.nlm.nih.gov/pubmed/30278562
http://dx.doi.org/10.1097/MD.0000000000012567
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author Chmieliauskas, Sigitas
Anuzyte, Joginte Saule
Liucvaikyte, Julita
Laima, Sigitas
Jurolaic, Eleonora
Rocka, Saulius
Fomin, Dmitrij
Stasiuniene, Jurgita
Jasulaitis, Algimantas
author_facet Chmieliauskas, Sigitas
Anuzyte, Joginte Saule
Liucvaikyte, Julita
Laima, Sigitas
Jurolaic, Eleonora
Rocka, Saulius
Fomin, Dmitrij
Stasiuniene, Jurgita
Jasulaitis, Algimantas
author_sort Chmieliauskas, Sigitas
collection PubMed
description Subdural hemorrhage is commonly associated with mechanical brain injury and has a correspondingly high mortality rate. Subdural hematomas may immediately provoke symptoms or may be initially asymptomatic, with further symptoms evolving rapidly and fatally. The data regarding forensic autopsy of victims were obtained from The State Forensic Medicine Service of Lithuania between the years 2013 and 2016. A retrospective study was performed including 110 patients, whose cause of death was subdural hemorrhage. 95% confidence intervals were calculated. It was calculated, that in cases of sudden death, after subdural hemorrhage was diagnosed, a higher concentration of ethyl alcohol in blood (mean 2.22 ± 1.3%) demanded a smaller amount of blood under the dura matter (mean 81.6 ± 60.5 g) in order for the patient to die. It was also noted that hospitalized patients with subdural hemorrhage had a smaller concentration of blood ethyl alcohol (mean 1.33 ± 1%) and a larger amount of blood under the dura (mean 135.6 ± 82.9 g). Due to the toxic effect of ethyl alcohol, even a small amount (81.6 ± 60.5 g) of blood under the dura matter can determine a sudden death.
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spelling pubmed-61816112018-10-15 Importance of effusion of blood under the dura mater in forensic medicine: A STROBE – compliant retrospective study Chmieliauskas, Sigitas Anuzyte, Joginte Saule Liucvaikyte, Julita Laima, Sigitas Jurolaic, Eleonora Rocka, Saulius Fomin, Dmitrij Stasiuniene, Jurgita Jasulaitis, Algimantas Medicine (Baltimore) Research Article Subdural hemorrhage is commonly associated with mechanical brain injury and has a correspondingly high mortality rate. Subdural hematomas may immediately provoke symptoms or may be initially asymptomatic, with further symptoms evolving rapidly and fatally. The data regarding forensic autopsy of victims were obtained from The State Forensic Medicine Service of Lithuania between the years 2013 and 2016. A retrospective study was performed including 110 patients, whose cause of death was subdural hemorrhage. 95% confidence intervals were calculated. It was calculated, that in cases of sudden death, after subdural hemorrhage was diagnosed, a higher concentration of ethyl alcohol in blood (mean 2.22 ± 1.3%) demanded a smaller amount of blood under the dura matter (mean 81.6 ± 60.5 g) in order for the patient to die. It was also noted that hospitalized patients with subdural hemorrhage had a smaller concentration of blood ethyl alcohol (mean 1.33 ± 1%) and a larger amount of blood under the dura (mean 135.6 ± 82.9 g). Due to the toxic effect of ethyl alcohol, even a small amount (81.6 ± 60.5 g) of blood under the dura matter can determine a sudden death. Wolters Kluwer Health 2018-09-28 /pmc/articles/PMC6181611/ /pubmed/30278562 http://dx.doi.org/10.1097/MD.0000000000012567 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle Research Article
Chmieliauskas, Sigitas
Anuzyte, Joginte Saule
Liucvaikyte, Julita
Laima, Sigitas
Jurolaic, Eleonora
Rocka, Saulius
Fomin, Dmitrij
Stasiuniene, Jurgita
Jasulaitis, Algimantas
Importance of effusion of blood under the dura mater in forensic medicine: A STROBE – compliant retrospective study
title Importance of effusion of blood under the dura mater in forensic medicine: A STROBE – compliant retrospective study
title_full Importance of effusion of blood under the dura mater in forensic medicine: A STROBE – compliant retrospective study
title_fullStr Importance of effusion of blood under the dura mater in forensic medicine: A STROBE – compliant retrospective study
title_full_unstemmed Importance of effusion of blood under the dura mater in forensic medicine: A STROBE – compliant retrospective study
title_short Importance of effusion of blood under the dura mater in forensic medicine: A STROBE – compliant retrospective study
title_sort importance of effusion of blood under the dura mater in forensic medicine: a strobe – compliant retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181611/
https://www.ncbi.nlm.nih.gov/pubmed/30278562
http://dx.doi.org/10.1097/MD.0000000000012567
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