ArticleForensic science, medicine, and pathology2020
Significance of intracranial gas on post-mortem computed tomography in traumatic cases in the context of medico-legal opinions.
Article in Forensic science, medicine, and pathology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 6 citations in OpenAlex.
- Medico-legal interpretations of gas on postmortem CT: a scoping review.International journal of legal medicine · 2026Article
- Distribution patterns of postmortem intravascular gas on PMCT in natural deaths.International journal of legal medicine · 2026Article
- Distinguishing cardiac gas embolism from postmortem lesions based on gas presence in various anatomical locations.International journal of legal medicine · 2026Article
- Videoautopsy-A Minimally Invasive Autopsy Method Using Endoscopic Techniques in Forensic Medicine: Clinical Features.Diagnostics (Basel, Switzerland) · 2024Article
- Minimally invasive autopsy - endoscopic approach to post-mortem diagnostics.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024Review
- Post mortem computed tomography is highly sensitive for pyelonephritis. A radiologic-pathologic correlation series.Forensic science, medicine, and pathology · 2022Article
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4 authors at 1 institution in 1 country.
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Abstract
The detection of intracranial gas (ICG) in people who died due to trauma became possible once postmortem computed tomography (PMCT) became available in addition to traditional post-mortem examinations. The aim of this study was to determine the importance of ICG in the context of medico-legal opinions. We assessed 159 cases of trauma-induced death. Cadavers with pronounced signs of decomposition, open skull fractures, and after neurosurgical operations were excluded. Both PMCT findings and data from autopsy reports were analyzed. ICG was found in 38.99% (n = 62) of the cadavers, 96.77% (n = 60) of which presented with pneumocephalus (PNC) and 40.23% (n = 25) with intravascular gas (IVG). There was a strong correlation between ICG and skull fractures/brain injuries, as well as chest injuries, especially lung injuries. In 13 cases, ICG presented without skull fractures; three of these cases died as a result of stab and incised wounds to the neck and chest. The mean time between trauma and death was significantly longer in the non-ICG group than the ICG group at 2.94 days (0-48 days) and 0.01 day (0-1 day), respectively (p < 0.0001). The presence of ICG is a result of severe neck and chest injuries, including stab and incised wounds. The victims die in a very short amount of time after suffering trauma resulting in ICG. The ability to demonstrate ICG on PMCT scans can be of significance in forming medico-legal opinions.
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