Death due to Pulmonary Thromboembolism with Cerebral Venous Thrombosis.
10.7580/kjlm.2015.39.1.22
- Author:
Joo Young NA
1
;
Jeong Woo PARK
;
Yeon Ho OH
;
Kyung Wook KANG
;
Jong In NA
;
Hyung Seok KIM
;
Jong Tae PARK
Author Information
1. Forensic Medicine Division, Gwangju Institute, National Forensic Service, Jangseong, Korea. pdrdream@gmail.com
- Publication Type:Case Report
- Keywords:
Intracranial thrombosis;
Venous thrombosis;
Pulmonary embolism;
Vasculitis;
Autopsy
- MeSH:
Adult;
Autopsy;
Brain;
Cerebral Infarction;
Dura Mater;
Headache;
Humans;
Hypesthesia;
Intracranial Thrombosis;
Leg;
Magnetic Resonance Imaging;
Malpractice;
Pulmonary Artery;
Pulmonary Embolism*;
Purpura;
Superior Sagittal Sinus;
Thrombosis;
Vasculitis;
Veins;
Venous Thrombosis*;
Young Adult
- From:Korean Journal of Legal Medicine
2015;39(1):22-26
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cerebral venous thrombosis is an uncommon cause of cerebral infarction. A 31-year-old man complained of headache, weakness, and numbness of the left leg a day before being admitted to the hospital. After admission, brain computed tomography and brain magnetic resonance imaging revealed superior sagittal sinus thrombosis with cerebral infarction in the right hemisphere. He had no significant medical history. On the fourth hospital day, he suddenly collapsed and died. Medicolegal autopsy was performed 3 days later; medical malpractice was suspected. External examination revealed a few conjunctival petechiae. Internal examination revealed thrombi in the superior sagittal sinus and superficial cortical veins. Thrombi were noted in the pulmonary trunk and both pulmonary arteries. Upon dissection of the left leg, we found thrombi in the posterior tibial vein. A microscopic examination revealed vasculitis of the same cortical veins, and we therefore assumed that vasculitis of the cortical veins gave rise to thrombosis. In typical autopsy practice, an examination of the dura mater is often overlooked, but careful examination of this region should be performed in cases of cerebral infarction in young adults, such as this one.
