Determination of the mechanism of the formation of a traumatic brain injury, taking into account the data of multislice computed tomography: a case from expert practice.

Abstract

Background. In the practice of a forensic medical expert, the question of the exact definition of a mechanism is often raised, which aims to identify accents during the investigation of a criminal case or on the basis of preliminary verification materials, when a sentence is passed, including the degree of guilt of each of the defendants in the case. On how significant the contribution of each of the choked cases was, respectively, depends on what the distribution of personality will be. In those cases where there is only one suspicion of the presence of bodily injuries, it is no less important for the investigation of the organs, it is determined which particular injuries in a sick person are manifested from a special effect on a person, and which ones are only consequences of a fatal confluence that take place at a given moment of time . In such a situation, a clear answer to the question about the disease often causes the disease, conducting an investigation, an adequately qualified act of suicide in accordance with the action of the Criminal Code of the Russian Federation. When it comes to the examination of victims, defendants and other persons (living persons), the situation is complicated by the fact that, in comparison with the examination of organs, the forensic expert is deprived of the opportunity to evaluate new material and evaluates only laboratory data, the results - instrumental methods of research and examination of a living face, often detected by the consequences of detection after a period of time after detection (weeks and periods). Description of the expert case. The results of multislice computed tomography of the brain, as a more accurate diagnostic method compared to standard radiography, coupled with the study of the presented video recording from surveillance cameras, made it possible to sequentially determine in the case of a severe traumatic brain injury what kind of bodily injuries occurred in the injured person from the direct impact of the attacker , and which - as a result of the subsequent fall with a blow to a hard blunt object, as well as to distinguish between damage to the impact and counter-impact zones. Conclusion. The analysis of this expert case allows us to conclude that modern methods of radiation diagnostics are important in forensic medicine, in particular, in determining the mechanism of traumatic brain injury.