[Fatal epidural hemorrhage after a 2-week interval].
This in a report on a 15-year old school girl who sustained a skull fracture after a fall. Apart from an initial syncope and signs of commotio cerebri no severe cerebral deficiencies were apparent. She died suddenly soon after her discharge and 2 weeks after the accident. The officially confirmed cause of death (based on autopsy by order of a court) was an epidural hemorrhage. This hemorrhage originated from a reruptured traumatic pseudoaneurysma of the arteria meningea media. The morphological findings are presented. The legal problems are discussed especially in the light of recently re-introduced conservative treatment of epidural hemorrhage diagnosed by computed tomography.
D000293:Adolescent; D001158:Arteries / Q000473:pathology; D001921:Brain / Q000473:pathology; D004388:Dura Mater / Q000473:pathology; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000473:pathology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology; D008578:Meninges / Q000098:blood supply; D010294:Parietal Bone / Q000293:injuries; D012887:Skull Fractures / Q000473:pathology; D013701:Temporal Bone / Q000293:injuries
Tödliche epidurale Blutung mit 2wöchigem Intervall.