Traumatic subarachnoid haemorrhage: a 10-year case study and review

Fourteen cases of traumatic subarachnoid haemorrhage (TSAH) from the years 1985–1995 are described. Two of these cases, one paediatric and one involving controlled substances, are considered separately. All 14 cases are then discussed together with the current literature with respect to: typical sub...

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Bibliographic Details
Published in:Forensic science international 1999-10, Vol.105 (1), p.13-23
Main Authors: Gray, J.T., Puetz, S.M., Jackson, S.L., Green, M.A.
Format: Article
Language:English
Subjects:
Adult
Alcohol
Autopsies
Biological and medical sciences
Case reports
Child, Preschool
Consciousness
Drugs
Ethanol - blood
Ethanol - urine
Etiology
Female
Forensic medicine
Forensic pathology
Hemorrhage
Humans
Injuries
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Men
Middle Aged
Public health. Hygiene
Public health. Hygiene-occupational medicine
Subarachnoid haemorrhage
Subarachnoid hemorrhage
Subarachnoid Hemorrhage - etiology
Subarachnoid Hemorrhage - mortality
Time Factors
Trauma
Traumas. Diseases due to physical agents
Veins & arteries
Vertebral Artery - injuries
Vertebral artery injury
Wounds and Injuries - mortality
Wounds and Injuries - physiopathology
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Description
Summary:Fourteen cases of traumatic subarachnoid haemorrhage (TSAH) from the years 1985–1995 are described. Two of these cases, one paediatric and one involving controlled substances, are considered separately. All 14 cases are then discussed together with the current literature with respect to: typical subject, the circumstances and aetiology of injury, time interval between injury and collapse, time of survival, the role of alcohol, the site of arterial rupture, and the methods recommended by other authors for the location of such an injury. We conclude that TSAH is a poorly understood cause of sudden death; fuller research is needed to clarify aetiology.
ISSN:0379-0738
1872-6283
DOI:10.1016/S0379-0738(99)00113-9