title: Complications of epilepsy and a ruptured pyonephrosis: radiology to the rescue in the Brooks murder case.
abstract: A woman and her lover were accused of murdering the woman's husband. Five weeks after fracture/dislocations of both shoulders and a central fracture/dislocation of the right hip were diagnosed the woman's husband died of septicaemia consequent on a ruptured infected hydronephrosis. The shoulder and hip injuries and the ruptured hydronephrosis were attributed to a beating with a blunt instrument. A review of the medical records of the deceased, particularly his radiological examinations, led the authors to conclude that his joint injuries and ruptured kidney were not due to the alleged assault. The joint injuries were the consequence of epileptic seizures and the ruptured kidney was also due to natural causes. These medical opinions provided evidence that led to acquittal of the accused.
authors.affiliation: Department of Radiology, Auckland Hospital, New Zealand.
authors.forename: G A
authors.initials: GA
authors.lastname: Foote
authors.forename: T D
authors.initials: TD
authors.lastname: Koelmeyer
authors.forename: K E
authors.initials: KE
authors.lastname: Eyre
authors.forename: T M
authors.initials: TM
authors.lastname: Astley
mesh_terms: D004827:Epilepsy / Q000150:complications*; D005104:Expert Testimony; D005260:Female; D005554:Forensic Medicine; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000209:etiology; D006708:Homicide / Q000331:legislation & jurisprudence*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D011704:Pyelonephritis / Q000150:complications / Q000000981:diagnostic imaging*; D011859:Radiography; D012422:Rupture, Spontaneous; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging* / Q000209:etiology; D012784:Shoulder Fractures / Q000000981:diagnostic imaging* / Q000209:etiology