The "mystery" of the train station: The importance of a forensic approach to a rare case of survival after a train-pedestrian collision. 2023

Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Berlin Institute of Health, Institute of Legal Medicine and Forensic Sciences, Humboldt-Universität zu Berlin, Berlin, Germany. Electronic address: albertoamadasi@libero.it.

In the early morning a 28-year-old man was found lying on the tracks of a railway station with head injuries and fractures of the cervical spine resulting in permanent quadriplegia. He was in a club about 1 km away until about 2 h earlier and did not have any recollection of what could have happened. Was he the victim of an assault, did he fall down or was he hit by a passing train? The solution to this "mystery" came from a forensic evaluation that included the forensic branches of pathology, chemistry, merceology and genetics as well as the scene evaluation. Through these different steps, the role of a railway collision in determining the injuries was ascertained and a possible dynamic was postulated. The presented case is an expression of the importance of the different forensic disciplines and the difficulties the forensic pathologist encounters when analysing such peculiar and rare cases.

UI MeSH Term Description Entries
D008297 Male Males
D005554 Forensic Medicine The application of medical knowledge to questions of law. Legal Medicine,Medicine, Forensic,Medicine, Legal
D006259 Craniocerebral Trauma Traumatic injuries involving the cranium and intracranial structures (i.e., BRAIN; CRANIAL NERVES; MENINGES; and other structures). Injuries may be classified by whether or not the skull is penetrated (i.e., penetrating vs. nonpenetrating) or whether there is an associated hemorrhage. Frontal Region Trauma,Head Injuries,Head Trauma,Occipital Region Trauma,Parietal Region Trauma,Temporal Region Trauma,Craniocerebral Injuries,Crushing Skull Injury,Forehead Trauma,Head Injuries, Multiple,Head Injury, Minor,Head Injury, Open,Head Injury, Superficial,Injuries, Craniocerebral,Injuries, Head,Multiple Head Injuries,Occipital Trauma,Open Head Injury,Superficial Head Injury,Trauma, Head,Craniocerebral Injury,Craniocerebral Traumas,Crushing Skull Injuries,Forehead Traumas,Frontal Region Traumas,Head Injuries, Minor,Head Injuries, Open,Head Injuries, Superficial,Head Injury,Head Injury, Multiple,Head Traumas,Injuries, Minor Head,Injuries, Multiple Head,Injuries, Open Head,Injuries, Superficial Head,Injury, Craniocerebral,Injury, Head,Injury, Minor Head,Injury, Multiple Head,Injury, Open Head,Injury, Superficial Head,Minor Head Injuries,Minor Head Injury,Multiple Head Injury,Occipital Region Traumas,Occipital Traumas,Open Head Injuries,Parietal Region Traumas,Region Trauma, Frontal,Region Trauma, Occipital,Region Trauma, Parietal,Region Traumas, Frontal,Region Traumas, Occipital,Region Traumas, Parietal,Skull Injuries, Crushing,Skull Injury, Crushing,Superficial Head Injuries,Temporal Region Traumas,Trauma, Craniocerebral,Trauma, Forehead,Trauma, Frontal Region,Trauma, Occipital,Trauma, Occipital Region,Trauma, Parietal Region,Trauma, Temporal Region,Traumas, Craniocerebral,Traumas, Forehead,Traumas, Frontal Region,Traumas, Head,Traumas, Occipital,Traumas, Occipital Region,Traumas, Parietal Region,Traumas, Temporal Region
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000069636 Pedestrians Persons traveling on foot.
D000072142 Pathologists Physicians who assess changes in cellular or tissue structure and function to diagnose disease processes. Pathologist
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
D050723 Fractures, Bone Breaks in bones. Bone Fractures,Broken Bones,Spiral Fractures,Torsion Fractures,Bone Fracture,Bone, Broken,Bones, Broken,Broken Bone,Fracture, Bone,Fracture, Spiral,Fracture, Torsion,Fractures, Spiral,Fractures, Torsion,Spiral Fracture,Torsion Fracture

Related Publications

Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
June 2021, Annals of translational medicine,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
January 2020, Asian journal of neurosurgery,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
May 1994, Journal of forensic sciences,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
January 2016, Journal of clinical and diagnostic research : JCDR,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
March 2019, Cureus,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
January 2014, Contemporary clinical dentistry,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
September 2006, Environmental research,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
March 2014, Neurology,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
September 2020, Journal of the Endocrine Society,
Alberto Amadasi, and Lorenzo Franceschetti, and Giulia Bolsi, and Debora Mazzarelli, and Riccardo Zoja
April 2024, Indian journal of pathology & microbiology,
Copied contents to your clipboard!