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A case of fatal cervical discoligamentous hyperextension injury without fracture: Correlation of postmortem imaging and autopsy findings
Abstract We present a case of fatal cervical discoligamentous hyperextension injury without fracture. Postmortem computed tomography (PMCT) and postmortem magnetic resonance imaging (PMMRI) disclosed cervical instability and spinal cord injury in the absence of fracture, which was confirmed by autop...
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| Published in: | Forensic science international 2013-02, Vol.225 (1), p.71-74 |
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| cites | cdi_FETCH-LOGICAL-c553t-c51ca007e13240126b9c6922d0e69a88f282bff527075612a551c6cd1ac6bf623 |
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| creator | Okuda, Takahisa Shiotani, Seiji Hayakawa, Hideyuki Kikuchi, Kazunori Kobayashi, Tomoya Ohno, Youkichi |
| description | Abstract We present a case of fatal cervical discoligamentous hyperextension injury without fracture. Postmortem computed tomography (PMCT) and postmortem magnetic resonance imaging (PMMRI) disclosed cervical instability and spinal cord injury in the absence of fracture, which was confirmed by autopsy. Cervical discoligamentous injury without fracture may be unnoticeable on PMCT because signs of cervical misalignment change depending on the posture of the neck at the time of postmortem imaging. Because of its greater sensitivity for soft tissue injury, PMMRI is especially useful for detecting pathological changes in cases of death due to cervical discoligamentous injury. In this paper, findings on postmortem imaging for this injury are described in detail and correlated with findings on autopsy. |
| doi_str_mv | 10.1016/j.forsciint.2012.04.035 |
| format | article |
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Postmortem computed tomography (PMCT) and postmortem magnetic resonance imaging (PMMRI) disclosed cervical instability and spinal cord injury in the absence of fracture, which was confirmed by autopsy. Cervical discoligamentous injury without fracture may be unnoticeable on PMCT because signs of cervical misalignment change depending on the posture of the neck at the time of postmortem imaging. Because of its greater sensitivity for soft tissue injury, PMMRI is especially useful for detecting pathological changes in cases of death due to cervical discoligamentous injury. In this paper, findings on postmortem imaging for this injury are described in detail and correlated with findings on autopsy.</description><identifier>ISSN: 0379-0738</identifier><identifier>EISSN: 1872-6283</identifier><identifier>DOI: 10.1016/j.forsciint.2012.04.035</identifier><identifier>PMID: 22648056</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Aged ; Atherosclerosis ; Autopsies ; Blood clots ; Cervical instability ; Cervical spine ; Cervical Vertebrae - injuries ; Cervical Vertebrae - pathology ; Correlation ; Discoligamentous injury ; Fatal ; Forensic Pathology ; Forensic sciences ; Fracture mechanics ; Fractures ; Heart attacks ; Hematoma - pathology ; Humans ; Hyperextension ; Imaging ; Injuries ; Instability ; Intervertebral Disc - injuries ; Intervertebral Disc - pathology ; Joint Dislocations - pathology ; Legal medicine ; Ligaments - injuries ; Ligaments - pathology ; Magnetic Resonance Imaging ; Male ; Medical imaging ; Multidetector Computed Tomography ; NMR ; Nuclear magnetic resonance ; Pathology ; Postmortem CT ; Postmortem MRI ; Spinal cord injuries ; Spinal Cord Injuries - pathology ; Spondylosis - pathology ; Tomography ; Vertebrae</subject><ispartof>Forensic science international, 2013-02, Vol.225 (1), p.71-74</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2012 Elsevier Ireland Ltd</rights><rights>Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Feb 10, 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c553t-c51ca007e13240126b9c6922d0e69a88f282bff527075612a551c6cd1ac6bf623</citedby><cites>FETCH-LOGICAL-c553t-c51ca007e13240126b9c6922d0e69a88f282bff527075612a551c6cd1ac6bf623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22648056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okuda, Takahisa</creatorcontrib><creatorcontrib>Shiotani, Seiji</creatorcontrib><creatorcontrib>Hayakawa, Hideyuki</creatorcontrib><creatorcontrib>Kikuchi, Kazunori</creatorcontrib><creatorcontrib>Kobayashi, Tomoya</creatorcontrib><creatorcontrib>Ohno, Youkichi</creatorcontrib><title>A case of fatal cervical discoligamentous hyperextension injury without fracture: Correlation of postmortem imaging and autopsy findings</title><title>Forensic science international</title><addtitle>Forensic Sci Int</addtitle><description>Abstract We present a case of fatal cervical discoligamentous hyperextension injury without fracture. Postmortem computed tomography (PMCT) and postmortem magnetic resonance imaging (PMMRI) disclosed cervical instability and spinal cord injury in the absence of fracture, which was confirmed by autopsy. Cervical discoligamentous injury without fracture may be unnoticeable on PMCT because signs of cervical misalignment change depending on the posture of the neck at the time of postmortem imaging. Because of its greater sensitivity for soft tissue injury, PMMRI is especially useful for detecting pathological changes in cases of death due to cervical discoligamentous injury. In this paper, findings on postmortem imaging for this injury are described in detail and correlated with findings on autopsy.</description><subject>Aged</subject><subject>Atherosclerosis</subject><subject>Autopsies</subject><subject>Blood clots</subject><subject>Cervical instability</subject><subject>Cervical spine</subject><subject>Cervical Vertebrae - injuries</subject><subject>Cervical Vertebrae - pathology</subject><subject>Correlation</subject><subject>Discoligamentous injury</subject><subject>Fatal</subject><subject>Forensic Pathology</subject><subject>Forensic sciences</subject><subject>Fracture mechanics</subject><subject>Fractures</subject><subject>Heart attacks</subject><subject>Hematoma - pathology</subject><subject>Humans</subject><subject>Hyperextension</subject><subject>Imaging</subject><subject>Injuries</subject><subject>Instability</subject><subject>Intervertebral Disc - injuries</subject><subject>Intervertebral Disc - pathology</subject><subject>Joint Dislocations - pathology</subject><subject>Legal medicine</subject><subject>Ligaments - injuries</subject><subject>Ligaments - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Multidetector Computed Tomography</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Pathology</subject><subject>Postmortem CT</subject><subject>Postmortem MRI</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - pathology</subject><subject>Spondylosis - pathology</subject><subject>Tomography</subject><subject>Vertebrae</subject><issn>0379-0738</issn><issn>1872-6283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqNksGOFCEURStG47Sjv6Akbtx0-4CCqnJh0uk4ajKJCzVxR2jq0UNbBS1Qo_0H89lS6XFMZqMbIOTcSy73VdULCisKVL7er2yIyTjn84oBZSuoV8DFg2pB24YtJWv5w2oBvOmW0PD2rHqS0h4AhGDycXXGmKxbEHJR3ayJ0QlJsMTqrAdiMF47Uw69SyYMbqdH9DlMiVwdDxjxV0afXPDE-f0Uj-Sny1dhysRGbfIU8Q3ZhBhx0HmGiu0hpDyGmHEkbtQ753dE-57oKYdDOhLrfF_u0tPqkdVDwme3-3n19eLdl82H5eWn9x8368ulEYLnslKjARqknNUluNx2RnaM9YCy021rWcu21grWQCMkZVoUgTQ91UZurWT8vHp18j3E8GPClNVYguIwaI8lpSq-nDFed-2_Uda2XVdzLgv68h66D1P0JchsyGoppIBCNSfKxJBSRKsOsfxJPCoKau5V7dVdr2ruVUGtSq9F-fzWf9qO2N_p_hRZgPUJwPJ31w6jKi7oDfYuosmqD-4_Hnl7z8MMzs_D8B2PmP4mUqlo1Od5vObpogyAgfzGfwMg9883</recordid><startdate>20130210</startdate><enddate>20130210</enddate><creator>Okuda, Takahisa</creator><creator>Shiotani, Seiji</creator><creator>Hayakawa, Hideyuki</creator><creator>Kikuchi, Kazunori</creator><creator>Kobayashi, Tomoya</creator><creator>Ohno, Youkichi</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U5</scope><scope>8FD</scope><scope>L7M</scope></search><sort><creationdate>20130210</creationdate><title>A case of fatal cervical discoligamentous hyperextension injury without fracture: Correlation of postmortem imaging and autopsy findings</title><author>Okuda, Takahisa ; Shiotani, Seiji ; Hayakawa, Hideyuki ; Kikuchi, Kazunori ; Kobayashi, Tomoya ; Ohno, Youkichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c553t-c51ca007e13240126b9c6922d0e69a88f282bff527075612a551c6cd1ac6bf623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Atherosclerosis</topic><topic>Autopsies</topic><topic>Blood clots</topic><topic>Cervical instability</topic><topic>Cervical spine</topic><topic>Cervical Vertebrae - injuries</topic><topic>Cervical Vertebrae - pathology</topic><topic>Correlation</topic><topic>Discoligamentous injury</topic><topic>Fatal</topic><topic>Forensic Pathology</topic><topic>Forensic sciences</topic><topic>Fracture mechanics</topic><topic>Fractures</topic><topic>Heart attacks</topic><topic>Hematoma - pathology</topic><topic>Humans</topic><topic>Hyperextension</topic><topic>Imaging</topic><topic>Injuries</topic><topic>Instability</topic><topic>Intervertebral Disc - injuries</topic><topic>Intervertebral Disc - pathology</topic><topic>Joint Dislocations - pathology</topic><topic>Legal medicine</topic><topic>Ligaments - injuries</topic><topic>Ligaments - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Multidetector Computed Tomography</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Pathology</topic><topic>Postmortem CT</topic><topic>Postmortem MRI</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - 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Academic</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Technology Research Database</collection><collection>Advanced Technologies Database with Aerospace</collection><jtitle>Forensic science international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okuda, Takahisa</au><au>Shiotani, Seiji</au><au>Hayakawa, Hideyuki</au><au>Kikuchi, Kazunori</au><au>Kobayashi, Tomoya</au><au>Ohno, Youkichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of fatal cervical discoligamentous hyperextension injury without fracture: Correlation of postmortem imaging and autopsy findings</atitle><jtitle>Forensic science international</jtitle><addtitle>Forensic Sci Int</addtitle><date>2013-02-10</date><risdate>2013</risdate><volume>225</volume><issue>1</issue><spage>71</spage><epage>74</epage><pages>71-74</pages><issn>0379-0738</issn><eissn>1872-6283</eissn><abstract>Abstract We present a case of fatal cervical discoligamentous hyperextension injury without fracture. Postmortem computed tomography (PMCT) and postmortem magnetic resonance imaging (PMMRI) disclosed cervical instability and spinal cord injury in the absence of fracture, which was confirmed by autopsy. Cervical discoligamentous injury without fracture may be unnoticeable on PMCT because signs of cervical misalignment change depending on the posture of the neck at the time of postmortem imaging. Because of its greater sensitivity for soft tissue injury, PMMRI is especially useful for detecting pathological changes in cases of death due to cervical discoligamentous injury. In this paper, findings on postmortem imaging for this injury are described in detail and correlated with findings on autopsy.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>22648056</pmid><doi>10.1016/j.forsciint.2012.04.035</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| source | ScienceDirect Journals |
| subjects | Aged Atherosclerosis Autopsies Blood clots Cervical instability Cervical spine Cervical Vertebrae - injuries Cervical Vertebrae - pathology Correlation Discoligamentous injury Fatal Forensic Pathology Forensic sciences Fracture mechanics Fractures Heart attacks Hematoma - pathology Humans Hyperextension Imaging Injuries Instability Intervertebral Disc - injuries Intervertebral Disc - pathology Joint Dislocations - pathology Legal medicine Ligaments - injuries Ligaments - pathology Magnetic Resonance Imaging Male Medical imaging Multidetector Computed Tomography NMR Nuclear magnetic resonance Pathology Postmortem CT Postmortem MRI Spinal cord injuries Spinal Cord Injuries - pathology Spondylosis - pathology Tomography Vertebrae |
| title | A case of fatal cervical discoligamentous hyperextension injury without fracture: Correlation of postmortem imaging and autopsy findings |
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