Major cerebral hypoperfusion on an internal carotid loop during an otologic surgery: A case report.

An aberrant course of the internal carotid artery, such as a carotid loop or kinking, is a rare type of malformation. These malformations are typically asymptomatic, their occurrence is unpredictable, and they can exacerbate clinical disorders such as heart failure. We report the case of a seven-year-old child who died consecutively to cardiac arrest during otologic surgery for a cholesteatoma. After rapid and effective cardiorespiratory resuscitation, the child was transferred to a paediatric intensive care unit. In the following days, pronounced cerebral hypoperfusion led to the death of the child. The autopsy revealed a right carotid loop and a left carotid kink that presumably led to the cerebral hypoperfusion.

[Autopsy legal under the law]. / L'autopsie médico-légale au regard de la loi.

Only a physician specialized in forensic medicine is allowed to process a autopsy legal. The 2011 reform of forensic medicine aimed to homogenize and enhance thanatological practices over French state territory. According to the law, biological samples withdrawn during an autopsy can't be given back to the families after analysis(art. 230-30 CPP). Respecting the human body and restoring their physical aspect are mandatory by law (art. 230-29 CPP). After a autopsy legal, dead bodies must be given back to their relatives as soon as possible.

Enamel hypoplasia in a pliocene hominid from Chad.

Abel is the first Australopithecine known west of the East African Rift Valley. The fossil finds include a perisymphyseal fragment of an adult mandible with well-preserved crowns of the right I2-P4 and the left C-P4. Abel's dentition displays many enamel defects, which are described in detail for each tooth. Pitting affected every tooth, while larger, shallow depressions were observed on the canines alone. From two to four pit bands occurred on the different teeth, each resulting from a separate hypoplastic episode. In modern humans, a large number of causes, both environmental and genetic, have been suggested for such enamel defects. It seems probable that Abel's pathology was systemic. However, the occurrence of a number of bands and the variable intensity of the attacks make it difficult to say whether there was a single, repetitive cause or different etiologies. Possible causes discussed here include recurrent fevers and seasonal nutritional deficiencies.

A new hominid from the Upper Miocene of Chad, Central Africa.

The search for the earliest fossil evidence of the human lineage has been concentrated in East Africa. Here we report the discovery of six hominid specimens from Chad, central Africa, 2,500 km from the East African Rift Valley. The fossils include a nearly complete cranium and fragmentary lower jaws. The associated fauna suggest the fossils are between 6 and 7 million years old. The fossils display a unique mosaic of primitive and derived characters, and constitute a new genus and species of hominid. The distance from the Rift Valley, and the great antiquity of the fossils, suggest that the earliest members of the hominid clade were more widely distributed than has been thought, and that the divergence between the human and chimpanzee lineages was earlier than indicated by most molecular studies.