JUDICIAL HANGING - POSTMORTEM RADIOGRAPHIC, CT, AND MR-IMAGING FEATURES WITH AUTOPSY CONFIRMATION

被引:51
作者
WALLACE, SK
COHEN, WA
STERN, EJ
REAY, DT
机构
[1] UNIV WASHINGTON,DEPT RADIOL,SEATTLE,WA 98195
[2] UNIV WASHINGTON,DEPT PATHOL,SEATTLE,WA 98195
关键词
HEMORRHAGE; SUBARACHNOID; NECK; INJURIES; SPINAL CORD; SPINE; DISLOCATION;
D O I
10.1148/radiology.193.1.8090904
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To assess postmortem radiologic and pathologic findings by using modern imaging and autopsy techniques in two recent cases of judicial hangings. MATERIALS AND METHODS: Cervical spine radiography; computed tomography (CT) of the head, neck, and chest; magnetic resonance (MR) imaging of the head and cervical spine; and vertebral angiography were followed by a complete autopsy, including head and neck dissection. RESULTS: The first case (subaural knot) showed cervical spine ligamentous injury and partial disruption of the vertebral arteries without vertebral subluxation or injury to the cervical cord. The second ease (submental knot) showed complete ligamentous disruption and subluxation at C2-3 with complete cord transection. In both eases, minimally displaced transverse process fractures were present, and CT and MR imaging of the head showed diffuse subarachnoid hemorrhage. CONCLUSIONS: The extent and distribution of injuries differed markedly in the two cases. The first case involved loss of consciousness probably from subarachnoid hemorrhage or cerebral hypoxia, followed by death due to cerebral anoxia. The second ease involved a major spinal cord injury with subarachnoid hemorrhage.
引用
收藏
页码:263 / 267
页数:5
相关论文
共 13 条
[1]  
CONTOSTAVLOS D L, 1971, Journal of Forensic Sciences, V16, P40
[2]  
CURTIN HD, 1991, HEAD NECK IMAGING, P593
[3]  
Garfin SR, 1989, CERVICAL SPINE, P344
[4]  
HAMMOND GM, 1988, MED REC NY, V22, P426
[5]   THE COURSE OF RESPIRATION AND CIRCULATION IN DEATH DUE TO TYPICAL HANGING [J].
IKEDA, N ;
HARADA, A ;
SUZUKI, T .
INTERNATIONAL JOURNAL OF LEGAL MEDICINE, 1992, 104 (06) :313-315
[6]   THE OCCURRENCE OF CERVICAL FRACTURES IN VICTIMS OF JUDICIAL HANGING [J].
JAMES, R ;
NASMYTHJONES, R .
FORENSIC SCIENCE INTERNATIONAL, 1992, 54 (01) :81-91
[7]  
Marshall JJD, 1913, LANCET, V1, P194
[8]  
REAY DT, 1993, KCMEC9318 KING COUNT
[9]  
ROBERTSON WGA, 1935, BRIT MED J, V1, P121