[Acute fatal hemorrhage in craniocerebral trauma?]. 1992

H Althoff
Institut für Rechtsmedizin, Rhein.-Westf. Technischen Hochschule Aachen.

At necropsy of fatal cases due to craniocerebral trauma it is highly recommended that the intraosseous course of the internal carotid arteries are dissected, as detected injuries of these vessels may allow improved conclusions concerning the course of death. Suitable preparation techniques are presented. On the basis of the anatomical and physiological situation as well as pathophysiological considerations the acute lethal outcome of traumatic rupture of the intraosseous part of these arteries is not to be interpreted as death by hemorrhagic/hypovolemic shock but rather as lethal cerebral hypoxia subsequent to a rapidly developing insufficiency of the brain circulation.

UI MeSH Term Description Entries
D010579 Petrous Bone The dense rock-like part of temporal bone that contains the INNER EAR. Petrous bone is located at the base of the skull. Sometimes it is combined with the MASTOID PROCESS and called petromastoid part of temporal bone. Petrous Apex,Petrous Pyramid,Bone, Petrous,Petrous Bones
D002343 Carotid Artery, Internal Branch of the common carotid artery which supplies the anterior part of the brain, the eye and its appendages, the forehead and nose. Arteries, Internal Carotid,Artery, Internal Carotid,Carotid Arteries, Internal,Internal Carotid Arteries,Internal Carotid Artery
D002423 Cause of Death Factors which produce cessation of all vital bodily functions. They can be analyzed from an epidemiologic viewpoint. Causes of Death,Death Cause,Death Causes
D002534 Hypoxia, Brain A reduction in brain oxygen supply due to ANOXEMIA (a reduced amount of oxygen being carried in the blood by HEMOGLOBIN), or to a restriction of the blood supply to the brain, or both. Severe hypoxia is referred to as anoxia and is a relatively common cause of injury to the central nervous system. Prolonged brain anoxia may lead to BRAIN DEATH or a PERSISTENT VEGETATIVE STATE. Histologically, this condition is characterized by neuronal loss which is most prominent in the HIPPOCAMPUS; GLOBUS PALLIDUS; CEREBELLUM; and inferior olives. Anoxia, Brain,Anoxic Encephalopathy,Brain Hypoxia,Cerebral Anoxia,Encephalopathy, Hypoxic,Hypoxic Encephalopathy,Anoxia, Cerebral,Anoxic Brain Damage,Brain Anoxia,Cerebral Hypoxia,Hypoxia, Cerebral,Hypoxic Brain Damage,Anoxic Encephalopathies,Brain Damage, Anoxic,Brain Damage, Hypoxic,Damage, Anoxic Brain,Damage, Hypoxic Brain,Encephalopathies, Anoxic,Encephalopathies, Hypoxic,Encephalopathy, Anoxic,Hypoxic Encephalopathies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012771 Shock, Hemorrhagic Acute hemorrhage or excessive fluid loss resulting in HYPOVOLEMIA. Hemorrhagic Shock
D016489 Head Injuries, Closed Traumatic injuries to the cranium where the integrity of the skull is not compromised and no bone fragments or other objects penetrate the skull and DURA MATER. This frequently results in mechanical injury being transmitted to intracranial structures which may produce TRAUMATIC BRAIN INJURIES, hemorrhage, or CRANIAL NERVE INJURIES. (From Rowland, Merritt's Textbook of Neurology, 9th ed, p417) Head Injuries, Nonpenetrating,Head Trauma, Closed,Closed Head Injuries,Head Injury, Blunt,Head Injury, Nonpenetrating,Injuries, Closed Head,Blunt Head Injuries,Blunt Head Injury,Closed Head Injury,Closed Head Trauma,Closed Head Traumas,Head Injuries, Blunt,Head Injury, Closed,Head Traumas, Closed,Nonpenetrating Head Injuries,Nonpenetrating Head Injury
D020212 Carotid Artery Injuries Damages to the CAROTID ARTERIES caused either by blunt force or penetrating trauma, such as CRANIOCEREBRAL TRAUMA; THORACIC INJURIES; and NECK INJURIES. Damaged carotid arteries can lead to CAROTID ARTERY THROMBOSIS; CAROTID-CAVERNOUS SINUS FISTULA; pseudoaneurysm formation; and INTERNAL CAROTID ARTERY DISSECTION. (From Am J Forensic Med Pathol 1997, 18:251; J Trauma 1994, 37:473) Carotid Pseudoaneurysm,Trauma, Carotid Artery,Carotid Arteriopathies, Traumatic,Carotid False Aneurysm,False Aneurysm, Carotid,Injuries, Carotid Artery,Artery Injuries, Carotid,Artery Injury, Carotid,Artery Trauma, Carotid,Carotid Arteriopathy, Traumatic,Carotid Artery Injury,Carotid Artery Trauma,Carotid False Aneurysms,Injury, Carotid Artery,Pseudoaneurysm, Carotid,Traumatic Carotid Arteriopathy

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