Hypothermia provokes hemorrhaging in various core muscle groups: how many of them could we have missed?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F17%3A10370235" target="_blank" >RIV/00216208:11150/17:10370235 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00179906:_____/17:10370235

Výsledek na webu

<a href="https://link-springer-com.ezproxy.is.cuni.cz/article/10.1007%2Fs00414-017-1596-4" target="_blank" >https://link-springer-com.ezproxy.is.cuni.cz/article/10.1007%2Fs00414-017-1596-4</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00414-017-1596-4" target="_blank" >10.1007/s00414-017-1596-4</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Hypothermia provokes hemorrhaging in various core muscle groups: how many of them could we have missed?

Popis výsledku v původním jazyce

The postmortem diagnosis of hypothermia remains problematic even in the era of molecular and digital diagnostic advances. Gross hemorrhages in iliopsoas muscles have been regarded as a helpful diagnostic sign in hypothermia fatalities; nevertheless, they have received marginal attention since their original description. The present study attempts to fill that void by examining occurrence, localization, and diagnostic significance of the bleeding into the core muscles as evidence of death due to hypothermia in a series comprising 51 consecutive hypothermia autopsy cases. Hemorrhages into the core muscles were identified in 33 cases of fatal hypothermia (65%). Hemorrhages were present in iliopsoas muscles (19 cases; 37%), deep back muscles (18 cases; 35%), and in other core muscular groups such as the diaphragm, cervical, pectoral, and intercostal muscles (11 cases; 22%). The results of the study offer an attractive diagnostic opportunity and reaffirm the potential of the careful core muscle dissection for the clarification of hypothermic deaths. Centers lacking high-end imaging technologies and molecular postmortem programs may especially benefit, which may have implications in broader autopsy practice

Název v anglickém jazyce

Hypothermia provokes hemorrhaging in various core muscle groups: how many of them could we have missed?

Popis výsledku anglicky

The postmortem diagnosis of hypothermia remains problematic even in the era of molecular and digital diagnostic advances. Gross hemorrhages in iliopsoas muscles have been regarded as a helpful diagnostic sign in hypothermia fatalities; nevertheless, they have received marginal attention since their original description. The present study attempts to fill that void by examining occurrence, localization, and diagnostic significance of the bleeding into the core muscles as evidence of death due to hypothermia in a series comprising 51 consecutive hypothermia autopsy cases. Hemorrhages into the core muscles were identified in 33 cases of fatal hypothermia (65%). Hemorrhages were present in iliopsoas muscles (19 cases; 37%), deep back muscles (18 cases; 35%), and in other core muscular groups such as the diaphragm, cervical, pectoral, and intercostal muscles (11 cases; 22%). The results of the study offer an attractive diagnostic opportunity and reaffirm the potential of the careful core muscle dissection for the clarification of hypothermic deaths. Centers lacking high-end imaging technologies and molecular postmortem programs may especially benefit, which may have implications in broader autopsy practice

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30501 - Forensic science

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

International Journal of Legal Medicine

ISSN

0937-9827

e-ISSN

—

Svazek periodika

131

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

6

Strana od-do

1423-1428

Kód UT WoS článku

000407735100032

EID výsledku v databázi Scopus

2-s2.0-85018299091