Intracranial Hematomas In Fatal Closed Head Injury A Postmortem Study

Qitran Raheem, Hayder; A Salam Al Atraqchi, Ahmed; Hannon Gabbar, Bassim

	Intracranial Hematomas In Fatal Closed Head Injury A Postmortem Study
Mustansiriya Medical Journal
Article 1, Volume 16, Issue 2, 2017, Pages 32-35
Authors
Hayder Qitran Raheem; Ahmed A Salam Al Atraqchi; Bassim Hannon Gabbar
Abstract
BACKGROUND: Intracranial hematomas is an important cause of death in closed head injury, autopsy findings is the final way to determine the types ,extent& associated findings of these hematomas. OBJECTIVE: To compare the incidence of brain pathology as a cause of death in patients with isolated head injury and those with multiple organ injuries. PATIENT & METHODS: One hundred consecutive bodies who were victims of fatal closed head injury(Group A) in the forensic medicine institute from jan.2004 to jan 2007 were included in this study, in addition a control study (Group B) of 100 consecutive victims of closed head & body injury with overt and non overt head injury signs. RESULTS: Group A (patients with pure head injury signs) Fifty five out of one hundred (55%) were having ICH , In which SDH (pure or combined) constitutes 35% of all cases. In addition 45% were having a brain edema &/or herniation. Group B (patients with multiple organ injury signs) The majority 49% were having brain ischemia. CONCLUSION: 1-ICH are important causes of death in fatal closed head injury in which SDH are a majority in these hematomas. 2-As a non hemorrhagic cause brain edema &/or herniation were a major factor. 3-Multiply body injury showed mainly brain ischemia.
Keywords
intracranial hematomas; post mortem; closed head injury

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