Rupture of Intracranial Aneurism in Medicolegal Autopsies
DOI:
https://doi.org/10.17986/blm.2005101571Keywords:
aneurism, cranial, rupture, autopsyAbstract
Subarachnoid hemorrhage, due to rupture of an intracranial aneurysm, is a serious condition with high mortality and morbidity rates. A significant portion of patients with aneurysmal subarachnoid hemorrhage die immediately before reaching the hospital. The authors reviewed 12 medicolegal autopsies in which the cause of death was ruptured cerebral artery aneurysm. There were 6 women and 6 men with a mean age of 41.4 years. Of these 12 patients, 8 died without reaching medical attention. At autopsy, subarachnoid hemorrhage was present in 10 patients (91%), and intracerebral hemorrhage was present in one patient. Ten patients (83%) had acute pulmonary edema. There was no connection of the ruptures with a physical trauma. Autopsy and dissection of the cerebral vessels is vital to diagnosis, particularly when deaths are sudden and unexpected in nature.
Key words: Aneurism, cranial, rupture, autopsy
Downloads
References
Schievink WI, Wijdicks EF, Parisi JE, Piepgras DG, Whisnant JP. Sudden death from aneurysmal subarachnoid hemorrhage. Neurology 1995; 45: 871-874. DOI: https://doi.org/10.1212/WNL.45.5.871
Juvela S, Porras M, Poussa K. Natural history of unruptured intracranial aneurysms: probability of and risk factors for aneurysm rupture. J Neurosurg 2000; 93: 379-387. DOI: https://doi.org/10.3171/jns.2000.93.3.0379
Wardlaw JM, White PM. The detection and management of unruptured intracranial aneurysms. Brain 2000; 123: 205-221. DOI: https://doi.org/10.1093/brain/123.2.205
Gonsoulin M, Barnard JJ, Prahlow JA. Death resulting from ruptured cerebral artery aneurysm: 219 cases. Am J Forensic Med Pathol 2002; 23: 5-14. DOI: https://doi.org/10.1097/00000433-200203000-00002
Freytag E. Fatal rupture of intracranial aneurysms. Survey of 250 medicolegal cases. Arch Pathol 1966; 81: 418-424.
Inagawa T, Tlirano A. Ruptured intracranial aneurysms: an autopsy study of 133 patients. Surg Neurol 1990; 33: 117-123. DOI: https://doi.org/10.1016/0090-3019(90)90020-P
Bowen DA. Ruptured berry aneurysms: a clinical, pathological and forensic review. Forensic Sei Int 1984; 26: 227-234. DOI: https://doi.org/10.1016/0379-0738(84)90027-6
Berkheiser SW. Intracranial aneurysm and sudden death. Aerosp Med. 1972; 43: 331-332.
Weir BK. Pulmonary edema following fatal aneurysm rupture. J Neurosurg 1978; 49: 502-507. DOI: https://doi.org/10.3171/jns.1978.49.4.0502
Çokluk C, Şenel A, Araş M, İyigün Ö, Önder A, Rakunt C, Çelik F. Geriatrik yaş grubu anevrizma- tik intraventriküler hematom olgularında olgularında basınç kontrollü eksternal ventriküler drenaj uygulamasının sonuçları. Geriatri 2002; 5: 15-20.
Ellison D, Love S, Chimelli L, Harding BN, Lowe J, Vinters HV, editors. Neuropathology. A reference text of CNS Pathology. 2nd ed. Ebinburgh: Mosby, 2004:
Weller RO. Subarachnoid hemorrhage and myths about saccular aneurysm. J Clin Pathol 1995; 48: 1078-1081. DOI: https://doi.org/10.1136/jcp.48.12.1078
Downloads
Published
Issue
Section
License
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
