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1.
Medicine (Baltimore) ; 101(2): e28544, 2022 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-35029212

RESUMO

RATIONALE: Postmortem imaging (PMI), including computed tomography (PMCT), postmortem computed tomography angiography (PMCTA), and postmortem magnetic resonance imaging (PMMRI), is rapidly becoming effective and a practical method in forensic medicine. This study aimed to present a specific forensic case in which the PMI approach and its applications were used. PATIENT CONCERNS: A 40-year-old male patient had moderate unilateral nose bleeding constantly 10 times after suffering from a head injury induced by a car accident. After a bilateral massive nose bleeding for the last time, he died from hemorrhagic shock. Traumatic internal carotid artery pseudoaneurysm (TICAP) was suspected in this patient. DIAGNOSIS, INTERVENTIONS, AND OUTCOMES: A whole-body scanning was performed using PMCT and PMMRI. Then, PMCTA using left ventricular cardiac puncture was also implemented. A water-soluble contrast agent was injected into the left ventricle and pumped toward the intracranial, followed by a repeated whole-body PMCT scan. The PMCT/PMMRI detected a high-density/signal mass inside the left sphenoid sinus. The PMCTA detected a distinct leakage of the contrast agent into the left sphenoid sinus from an adjacent aneurysm of the C3 section of the left internal carotid artery. Autopsy and histology confirmed a TICAP inside the sphenoid sinus. LESSONS: This case showed that the PMI was of great value for identifying the cause of death in special cases. When vascular lesions are suspected in the body, PMI and especially the PMCTA approach may be an effective detection method.


Assuntos
Falso Aneurisma/diagnóstico por imagem , Autopsia/métodos , Artéria Carótida Interna/diagnóstico por imagem , Meios de Contraste , Adulto , Falso Aneurisma/etiologia , Angiografia por Tomografia Computadorizada , Evolução Fatal , Hemorragia , Humanos , Masculino
2.
Forensic Sci Res ; 5(2): 170-173, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32939433

RESUMO

Extracranial carotid artery injuries may produce severe haemorrhage, cerebral damage or arteriovenous fistula. Examples of traumatic extracranial carotid-jugular fistula are not frequently reported, especially in forensic medicine. We report a controversial case of an extracranial internal carotid-jugular fistula resulting from a stab wound to the neck. The degree of the injury was classified under "The Standard of Human Body Injury Assessment (2014)" (SIA) in China by forensic examiners. We believe this case report will provide information for the forensic assessment of similar cases.

3.
Opt Express ; 26(21): 28013-28021, 2018 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-30469857

RESUMO

A photonic method to generate binary and quaternary phase-coded microwave signals using a dual-polarization dual-parallel Mach-Zehnder modulator (DP-DPMZM) is proposed and experimentally demonstrated. The upper DPMZM driven by a radio frequency (RF) signal acts as an optical wavelength shifter, while the lower DPMZM is used to generate a binary phase shift key (BPSK) or quadrature phase shift key (QPSK) signal. By combining the wavelength-shifted optical sideband and phase-modulated optical carrier, both binary and quaternary phase-coded microwave signals can be generated. Such signals with the carrier frequency of 10 GHz and 15 GHz are demonstrated. The pulse compression performance is also investigated.

4.
Am J Forensic Med Pathol ; 38(2): 103-106, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28272090

RESUMO

This report presents a case of a 52-year-old man who had a traffic accident and died later. External examination could not determine the cause of death. Approximately 3 weeks later, an autopsy was performed. Postmortem computed tomography was performed before the autopsy. Postmortem imaging was interpreted to show hemorrhage beneath the tentorium, and the C5 to C6 (the fifth and sixth cervical vertebra) disc space was widened. During the autopsy, a cervical spinal cord injury was confirmed. However, a meningioma was found under the tentorium instead of a hemorrhage. There are a number of reasons that include postmortem changes that affected the virtopsy diagnosis, which still needs development.


Assuntos
Erros de Diagnóstico , Meningioma/patologia , Neoplasias da Medula Espinal/patologia , Medula Espinal/patologia , Acidentes de Trânsito , Hemorragia Cerebral/diagnóstico , Vértebras Cervicais/lesões , Vértebras Cervicais/patologia , Humanos , Masculino , Meningioma/diagnóstico , Pessoa de Meia-Idade , Medula Espinal/diagnóstico por imagem , Traumatismos da Medula Espinal/patologia , Neoplasias da Medula Espinal/diagnóstico , Tomografia Computadorizada por Raios X
5.
Forensic Sci Res ; 2(2): 107-111, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-30483627

RESUMO

Targeted post-mortem computed tomography (PMCT) combined with coronary angiography has the potential to play a significant role in the investigation of sudden cardiac death. The authors utilized a targeted PMCT coronary angiography in a case involving a 53-year-old man who died from acute myocardial ischemia and cardiac decompensation which may result from coronary artery disease (CAD). The victim collapsed suddenly at work and died soon after arrival to hospital. The body was examined using PMCT and targeted PMCT coronary angiography. The left anterior descending coronary artery exhibited 75%-100% stenosis in the middle segment; however, the distal segment could not be clearly visualized. In addition, the left circumflex and right coronary artery exhibited calcification, atherosclerosis and an area of 50% stenosis. Signs of cardiogenic pulmonary oedema were also identified. The imaging results suggested that this individual had coronary atherosclerosis and probably died from CAD. The autopsy and histological examination revealed acute myocardial ischemia and myocardial scarring, confirming the cause of death while excluding other probabilities. In summary, targeted post-mortem computed tomography angiography (PMCTA) can visualize the arteries and estimate the degree of principal pathological changes. This method is a simple, reliable and sensitive technique for identifying the presence of coronary atherosclerosis. It is a valuable post-mortem forensic imaging method and should be recommended in the investigation of suspicious cardiac deaths.

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