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International Journal of Legal Medicine

, Volume 132, Issue 4, pp 1111–1113 | Cite as

Letter to the editors regarding the article entitled: “paradoxical undressing associated with subarachnoid hemorrhage in a non-hypothermia case?”

  • Martin Janík
  • Jozef Krajčovič
  • Petr Hejna
Letter to the Editor

We read with great interest the recently published article by Descloux and colleagues describing suspected paradoxical undressing in a non-hypothermia fatality [1]. In this article, the authors reported a case of aneurysm-related spontaneous subarachnoid hemorrhage and concluded that the paradoxical undressing might be related to hemorrhage-induced dysregulation of the hypothalamic temperature-regulating centers. They postulate that hypothalamic injury associated with subarachnoid hemorrhage might induce—owing to a local inflammatory response and pyretic cytokines activity—fever with a feeling of warmth. As we have recently had a quite similar experience, we would like to share the findings of our case, which brings additional evidence of bizarre behavioral features including non-hypothermic undressing described in Descloux and colleagues’ article.

Our case concerns a 65-year-old woman who was found dead and completely naked in the prone sleeping -like position in the basement area of...

References

  1. 1.
    Descloux E, Ducrot K, Scarpelli MP, Lobrinus A, Palmiere C (2017) Paradoxical undressing associated with subarachnoid hemorrhage in a non-hypothermia case? Int J Legal Med. doi: 10.1007/s00414-017-1597-3
  2. 2.
    Schäfer AT (2005) Human Primitive Behavior. In: Tsokos M (ed) Forensic pathology reviews, 1st edn, vol 2. Humana Press, Totowa, pp 189–204CrossRefGoogle Scholar
  3. 3.
    Rothschild MA, Schneider V (1995) “Terminal burrowing behaviour”—a phenomenon of lethal hypothermia. Int J Legal Med 107:250–256CrossRefPubMedGoogle Scholar
  4. 4.
    Krch D (2011) Frontal lobe syndrome. In: Kreutzer JS, DeLuca J, Caplan B (eds) Encyclopedia of clinical neuropsychology, 2011th edn. Springer, New York, pp 1084–1087CrossRefGoogle Scholar
  5. 5.
    Funayama M, Muramatsu T, Koreki A, Kato M, Mimura M, Nakagawa Y (2017) Semantic memory deficits are associated with pica in individuals with acquired brain injury. Behav Brain Res 329:172–179CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Department of Forensic Medicine and Medicolegal Expertises, Jessenius Faculty of MedicineComenius University, University HospitalMartinSlovak Republic
  2. 2.Department of Forensic Medicine, Faculty of MedicineCharles University and University HospitalHradec KráloveCzech Republic

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