Visual note - large vitreous hemorrhage in post mortem imaging

IF 0.8 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Wolf Schweitzer, Dominic Gascho, Michael Thali, Sebastian Eggert, Garyfalia Ampanozi
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引用次数: 0

Abstract

The significance of vitreous hemorrhages detected after death, particularly in non-traumatic cases, currently seems largely unclear. This obscurity might arise partly because these hemorrhages may go undetected, especially when relying solely on traditional methods like external inspection and autopsy. In this case of an 80-year-old woman with a history of arterial hypertension, post mortem computed tomography (PMCT) showed intrabulbar findings indicative of a lateral vitreous haemorrhage of the left eye, which then appeared partly dark on susceptibility weighted post mortem magnetic resonance imaging (PMMRI). PMMRI also identified a dislocated membrane suggestive of retina detachment. Dissection of the enucleated eye revealed a dark red gel-like mass, visually identified as clotted blood, and a retinal tear. The finding is discussed as possible consequence of arterial hypertension. Further investigations into the significance of post-mortem vitreous hemorrhages on imaging are warranted, especially in the context of potential early indicators of acute stroke.

肉眼观察--尸检图像显示大面积玻璃体出血
对于死后发现的玻璃体出血,尤其是在非创伤性病例中发现的玻璃体出血,其意义目前似乎还不十分明确。造成这种模糊不清的部分原因可能是这些出血可能未被发现,尤其是在仅依靠外部检查和尸体解剖等传统方法时。在这例有动脉高血压病史的 80 岁老妇人的病例中,死后计算机断层扫描(PMCT)显示眼球内有左眼外侧玻璃体出血的迹象,随后在易感性加权死后磁共振成像(PMMRI)上显示出部分黑影。PMMRI 还发现了一层脱位的薄膜,提示视网膜脱落。对去核眼球进行解剖后,发现了一个暗红色凝胶状肿块(目测为凝血)和视网膜撕裂。这一发现被认为可能是动脉高血压的结果。有必要进一步研究死后玻璃体出血在影像学上的意义,尤其是在急性中风的潜在早期指标方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Forensic Imaging
Forensic Imaging RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.20
自引率
27.30%
发文量
39
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