Current Status of Forensic Identification for Blunt Injuries of Internal Carotid Arterial System
10.3969/j.issn.1004-5619.2017.06.012
- VernacularTitle:颈内动脉系钝性损伤法医学鉴定现状
- Author:
Xue-Mei WU
1
;
Geng ZHANG
;
Qi WANG
;
Zi-Xiang NI
;
Min LIU
;
Li-Bing YUN
;
Xu-Fu YI
Author Information
1. 福建医科大学基础医学院人体解剖与组织胚胎学系
- Keywords:
forensic pathology;
neck injuries;
review;
carotid artery;
internal;
angiography
- From:
Journal of Forensic Medicine
2017;33(6):622-628
- CountryChina
- Language:Chinese
-
Abstract:
Internal carotid arterial system is the main source of blood supply in brain. In forensic identi-fication practice, blunt injures of internal carotid arterial system usually cause complications such as throm-bus, aneurysm and arteriovenous fistula, etc. The deaths following delayed cerebral infarction or intracra-nial haemorrhage are not rare. At present, literature of deaths caused by blunt injuries of internal carotid arterial system mainly consist of case reports in China. This paper reviews related literature and case re-ports at home and abroad, and summarizes forensic medical features and identification method of the deaths caused by such injuries. The results show that blunt injures of internal carotid arterial system are related to the direct or indirect force on head and neck, which can result in exceed physiological range traction of head and neck, incision following basicranial fracture, etc. Such injuries are common in the cases as mechanical asphyxia, cervical manipulation, traffic accident and fall, etc. The artery should be examined carefully, and the relationship among injury, disease and death should be analysed correctly when no cause of infarction and hemorrhage was found in routine examination of such cases in forensic pratice. Because of the difficulty for exposing the artery completely in autopsy, angiography can be used to infer the location when necessary for improving the scientificity and reliability of the appraisal conclusion.
