死后广角眼底摄影在虐待性头部创伤中的应用首例报告。

IF 1 4区 医学 Q3 MEDICINE, LEGAL
Toru Oshima, Hiroshi Yoshikawa, Hidehisa Sekijima, Hirokazu Kotani
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引用次数: 0

摘要

视网膜出血通常发生在虐待性头部创伤(AHT)。虽然宽视场眼底摄影对于记录活着的儿童视网膜出血至关重要,但在致命病例中,传统上使用病理检查。本报告描述了一名4岁女孩死于头部创伤的案件,她被怀疑是由身体虐待造成的。在尸检前,使用扫描激光眼底镜(SLO)进行宽视场眼底摄影以记录视网膜出血。影像显示视网膜出血主要位于右眼后极和周围视网膜。尸检证实颅脑损伤,包括急性硬膜下血肿。眼睛的病理检查显示出血在内限制膜下和视网膜的内至外核层内。死因被确定为头部外伤导致急性硬膜下血肿。本病例证实,使用SLO进行宽视场眼底摄影可以在死后进行,补充病理结果。死后眼底摄影,特别是使用SLO,有可能减少在传统标本制备过程中引入人工制品的风险。需要更多的案例研究来进一步完善该技术的使用,并确定其在AHT诊断中的潜在法医应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
First Case Report of the Use of Postmortem Wide-Angle Fundus Photography in Abusive Head Trauma.

Retinal hemorrhages commonly cooccur with abusive head trauma (AHT). While wide-field fundus photography is crucial for documenting retinal hemorrhage in living children, in fatal cases, a pathologic examination is traditionally used. This report describes the case of a 4-year-old girl who died of head trauma suspected to have been caused by physical abuse. Before the autopsy, wide-field fundus photography using scanning laser ophthalmoscopy (SLO) was performed to document retinal hemorrhages. Imaging revealed that retinal hemorrhages were predominantly located at the posterior pole and in the peripheral retina of the right eye. The autopsy confirmed cranial injuries, including acute subdural hematoma. Pathologic examination of the eyes revealed hemorrhages beneath the internal limiting membrane and within the inner to outer nuclear layers of the retina. The cause of death was determined to be head trauma leading to an acute subdural hematoma. This case confirms that wide-field fundus photography using SLO can be performed postmortem, supplementing pathologic findings. Postmortem fundus photography, particularly using SLO, has the potential to reduce the risk of artifact introduction during the preparation of traditional specimens. Additional case studies are required to further refine the use of this technique and establish its potential forensic application in the diagnosis of AHT.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
103
审稿时长
4-8 weeks
期刊介绍: Drawing on the expertise of leading forensic pathologists, lawyers, and criminologists, The American Journal of Forensic Medicine and Pathology presents up-to-date coverage of forensic medical practices worldwide. Each issue of the journal features original articles on new examination and documentation procedures. While most articles are available as web based articles, PDF and in ePub reader format, some earlier articles do not have PDFs available. If you would like to view an article in the ePub format, you will need to download an ePub reader to view this file, a number of which are available for free online.
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