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Abnormally High Blood Ethanol Concentration of Heart Blood : A Case Report and Review of Literatures.

Joo Young NA ; Byung Woo MIN ; Young Jik LEE ; Jong Tae PARK ; Hyung Seok KIM

Korean Journal of Legal Medicine.2008;32(2):153-159.

A 48 years old man was sent to hospital through emergency room immediately after head injuries. He was arrived at hospital being dead and autopsy was done sixty hours later after insult. Multiple skull fractures and brain parenchymal contusions, subarachnoid hemorrhage, stem hemorrhage were noted, and these injuries were considering as a cause of death. Interestingly, blood alcohol concentration (BAC) using cardiac blood was very high (0.738%) in this case. Here in, we report abnormally high BAC in heart blood which is not a cause of death and we review the general aspects about alcohol concentration interpretation.
Male ; Humans

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Sudden Death due to Undiagnosed Intracranial Meningioma: A Case Report.

Gi Yeong HUH ; Kwang Hoon KIM ; Yong Woo AHN ; Gam Rae JO ; Seong Muk JEONG ; Sang Yong LEE

Korean Journal of Legal Medicine.2008;32(2):150-152.

Since patients with intracranial neoplasms usually represent their neurological symptoms rather early in the course of the disease, sudden unexpected death due to intracranial neoplasms is an uncommon event seen only exceptionally in medicolegal autopsy practice. Although meningiom is one of the most common primary intracranial neoplasms, sudden death due to the tumor is an uncommon event. We report a sudden, unexpected death of a 56-year-old female with an undiagnosed olfactory groove meningioma. It is assumed that peritumoral edema is related to the sudden death among the several mechanisms.
Female ; Humans

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Sudden Deaths During Endoscopic Thoracoscopic Sympathicotomy.

Gap Rae JO ; Seong Muk JEONG ; Sang Yong LEE ; Kwang Hoon KIM ; Yong Woo AHN ; Gi Yeong HUH

Korean Journal of Legal Medicine.2008;32(2):144-149.

Endoscopic thoracoscopic sympathicotomy (ETS) for treatment of hyperhidrosis is usually considered as a simple and safe procedure. The complication of ETS is low and no death following ETS has ever been reported in the literature without anecdotal fatal cases. Recently, we experienced two cases of intraoperative cardiac arrest and death. Two patients are suffered from sudden cardiac arrest after transection of the left sympathetic nerve trunk by the thoracoscopic method. Vigorous cardiopulmonary resuscitations were performed but both patients are not recovered. Autopsy examinations are performed and there are no remarkable pathology.

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A Self-inflicted Pneumatic Nail Gun Head Injury.

Seong Ho KIM ; Tae Gong KIM ; In Soo SEO ; Jae Hong JO ; Young Shik CHOI

Korean Journal of Legal Medicine.2008;32(2):140-143.

A nail gun is a type of a tool used to drive nails into some kinds of hard materials. In this paper, an unusual case of intracranial penetrating nail gun injury is presented. The body of a badly charred man was found following a house fire. Autopsy revealed four intracranial nails in the occipital area. Also, tears of the stomach and diaphragm were found. Carbon monoxide saturation of a blood sample was a 5.2% and a small amount of soot was present in larynx and trachea. Subsequent investigation of the circumstance and autopsy findings strongly suggest that the deceased had shot himself in the head with a pneumatic nail gun and had died by self immolation.
Male ; Humans

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Fatal Necrotizing Fasciitis Due to Pseudomonas aeruginosa After Vaccination : A Case Report.

Hongil HA ; Kyung Moo YANG

Korean Journal of Legal Medicine.2008;32(2):136-139.

Necrotizing fasciitis is a life-threating soft tissue infection primarily involving the superficial fascia and usually occurs after surgical treatment, trauma and varicella. Pseudomonas aeruginosa is an extremely rare pathogen to cause necrotizing fasciitis and only a few cases have been reported in children. We report an autopsy case of necrotizing fasciitis due to Pseudomonas aeruginosa after vaccination in a 7-monthold boy.

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Two Consecutive Deaths from Choking Asphyxia.

Moon Il PARK ; Youn Shin KIM

Korean Journal of Legal Medicine.2008;32(2):133-135.

Choking is a type of asphyxia caused by obstruction within the air passages. Two old men died consecutively in a rural community party while enjoying raw beef and drinks. The time interval between the two deaths was about 3 hours. A lump of raw beef obstructing the laryngeal inlet was found in both cases accompanying conjunctival petechiae, heart blood liquidity and congested internal solid organs. The first victim had moderate to severe degrees of coronary atherosclerosis and fatty liver with the blood alcohol level 0.251% and the second one showed liver cirrhosis and the same coronary lesion with the blood alcohol level 0.175%. It is interesting but uncommon to see the circumstance that accidental choking asphyxias with raw beef occur within a few hours in the same place.
Male ; Humans

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Hypothermic Death with Paradoxical Undressing : Mimicking Rape-related Homicide : Case Report.

Sohyung PARK ; You Jin WON ; Hongil HA ; Kyung Moo YANG

Korean Journal of Legal Medicine.2008;32(2):129-132.

Paradoxical undressing is a well-known but uncommon phenomenon in hypothermic deaths. If an individual is found unusually undressed in cold weather and its autopsy finding is not related to any homicidal circumstance, the undressing is considered the victim s perimortem act accompanied in the hypothermic death. But unexperienced police staffs and scene investigators who are unaware of this perimortem phenomenon could take especially female death cases with paradoxical undressing for rape related homicides. The presenting case was initially considered a rape homicide but ruled a hypothermic death with the manner an accident through complete postmortem examinations including meticulous autopsy. We think this case is a good example for understanding the hypothermic death with pardoxical undressing and how to come to rule out homicide from it.
Female ; Humans

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Unexpected Sudden Death due to Post-traumatic Apoplexy of Preexisting Pituitary Adenoma; Blunt Force to the Face.

So Hyung PARK ; Hong Il HA ; Hyoung Joong KIM

Korean Journal of Legal Medicine.2008;32(2):124-128.

Pituitary adenomas are frequent intracranial tumors with generally benign prognosis but acute hemorrhage into tumor with necrosis is a severe complication and can potentially result in fatal outcome, if not diagnosed or treated early. While many precipitating factors have been known, even a mild blunt force shown in this case could play a role in the catastrophic complication of the pituitary adenoma. We report a rare forensic case of post-traumatic apoplexy sustained in a preexisting pituitary adenoma with a mild blunt force to the face.
Adenoma

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Three Allele Pattern Detected by STR Typing.

Jina YI ; Ai Hua ZHANG ; Seung Bum SEO ; Hye Yeon KIM ; Soong Deok LEE

Korean Journal of Legal Medicine.2008;32(2):118-123.

STR typing for several loci has been regarded as a standard method for individual identification. The result is rather simple and easy to be interpreted. For each loci one allele for homozygote and two different alleles for heterozygote are expressed as simple peaks. Many peaks more than two suggest unusual situations such as contamination. We experienced two cases of three alleles in two separate samples. Among 15 STR loci typed using AmpFlSTR.. Identifiler.. Kit(Applied Biosystems, Foster City, CA) and Powerplex..16 system (Promega, Madison, WI), three alleles were noted in D8S1179 locus in one sample, in D21S11 locus in another sample. We sequenced all the three amplified alleles through cloning to reveal the structure, and amplified nearby regions to check the extent of three alleles. We present the results here together with review on many alleles in one sample.

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The Preliminary Research for Making Judgment on Not Guilty by Reason of Insanity and Guilty but Mentally Ill.

Jee Hyun KWON ; Sang Sub CHOI ; Mi Kyung LYU ; Moon Sung RHEE ; Byung Hoon AHN

Korean Journal of Legal Medicine.2008;32(2):111-117.

BACK GROUND: Our object is to conduct a questionnaire research with psychiatrists who have the experience of mental examination to suggest judgment standard for Not Guilty by Reason of Insanity and Guilty But Mentally Ill(diminished capacity). In addition, this study is expected to reduce the gap between the judgments on Not Guilty by Reason of Insanity and Guilty But Mentally Ill. METHODS: In making judgment on Not Guilty by Reason of Insanity and Guilty But Mentally Ill by experts, the questionnaire research is conducted through e-mail on the judgment standard on each mental disorders. According to the definition of mental disability, the item that shows higher percentage than the items of cognitional ability and volitional ability is considered as the requirement for judging mental disability. RESULTS: In all of 7 major mental disorders and disease groups, the symptoms and characteristics of the disease and the range of the influence of the symptom on the case were higher in 2-4 times than the induced standard (cognitional ability and volitional ability) from the legal and academic definitions of mental disability. CONCLUSIONS: The criteria for judging normal or mental disability is the cognitional ability and volitional ability. The criteria for judging Not Guilty by Reason of Insanity and Guilty But Mentally Ill in mental disability is the symptom and characteristics of the disease and the range of the influence of the symptom on the case.

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