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International Journal of Legal Medicine

, Volume 132, Issue 2, pp 589–592 | Cite as

Postmortem angiography revealing traumatic rupture of the intracranial internal carotid artery

  • Fumiko Chiba
  • Go Inokuchi
  • Yohsuke Makino
  • Suguru Torimitsu
  • Ayumi Motomura
  • Rutsuko Yamaguchi
  • Mari Hashimoto
  • Yumi Hoshioka
  • Sayaka Nasgasawa
  • Ayaka Sakuma
  • Daisuke Yajima
  • Hisako Saito
  • Hirotaro Iwase
Case Report

Abstract

Diagnosis of traumatic subarachnoid hemorrhage (SAH), although relatively rare, is important in forensic medicine. It is mostly associated with rupture of the vertebrobasilar artery. Traumatic aneurysm of the intracranial part of the internal carotid artery (ICA) is also rare but has been reported in several studies. It is thought that the intracranial ICA is injured by blunt force to the head, neck, and chest. However, traumatic SAH with fatal acute course resulting from rupture of the ICA is especially uncommon: only two fatal cases without an associated aneurysm have been reported in the English-language literature. Although detecting the arterial lesion is required to make a precise diagnosis, this is sometimes impossible by macroscopic examination at autopsy or by investigation after formalin-fixation according to the position of the lesion. We report a rare case of fatal traumatic SAH associated with intracranial ICA rupture. Postmortem computed tomography angiography was useful to confirm the lesion.

Keywords

Traumatic subarachnoid hemorrhage Internal carotid artery Postmortem angiography Forensic medicine Traumatic arterial injury 

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2017

Authors and Affiliations

  • Fumiko Chiba
    • 1
    • 2
  • Go Inokuchi
    • 2
  • Yohsuke Makino
    • 1
  • Suguru Torimitsu
    • 1
  • Ayumi Motomura
    • 2
  • Rutsuko Yamaguchi
    • 1
  • Mari Hashimoto
    • 1
  • Yumi Hoshioka
    • 2
  • Sayaka Nasgasawa
    • 2
  • Ayaka Sakuma
    • 2
  • Daisuke Yajima
    • 2
  • Hisako Saito
    • 2
  • Hirotaro Iwase
    • 1
  1. 1.Department of Forensic Medicine, Graduate School of MedicineUniversity of TokyoTokyoJapan
  2. 2.Department of Legal Medicine, Graduate School of MedicineChiba UniversityChibaJapan

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