Abstract
An: 2017, Nr.4, Articol Nr. 5
Title: 

HEAD INJURIES IN FORENSIC MEDICINE

Authors: 

      Sofia David, A. Knieling, Simona Irina Damian - Forensic Medicine Institute, Iasi, Romania; “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Department of Forensic Medicine
      Octavia Ciuhodaru - „Sf. Spiridon” Clinical Hospital of Emergency of Iasi, Resident Physician on Radiology; University of Medicine and Pharmacy „Gr. T. Popa”, of Iasi, Romania, PhD candidate
      Diana Bulgaru-Iliescu - Forensic Medicine Institute, Iasi, Romania, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania; Department of Forensic Medicine
      HEAD INJURIES IN FORENSIC MEDICINE (Abstract): Head injuries are very common, the cause of more than one half of all traumatic deaths, and a major source of disability worldwide, especially in children, young adults and elderly people. A great variety of injuries may affect the scalp, skull, intracranial vessels and brain. The aim of the current paper is to describe the mechanisms of trauma and the main lesions discovered in violent deaths caused by head injuries in order to contribute to a practical approach of these cases in Forensic Medicine, standardize and unify evaluation criteria. The authors performed a descriptive analysis and pictorial illustration of 71 cases of deceased individuals with head injuries submitted to medico-legal autopsy at the Forensic Medicine Institute (Iasi, Romania) over a 5 years’ period, between 2012-2016. Head injuries were more frequently encountered in male patients (49 cases – 69.01%) aged 60-69 years old and traffic accidents were the main cause. 65 cases (91,55% cases) suffered serious traumatic brain injuries (TBI) with complex skull fractures and severe encephalic contusion accompanied by cerebral oedema that represented the main cause of death. Head injury mortality is determined by the severity of the trauma and for the development of complications like cerebral oedema and respiratory sepsis.
Key words: HEAD INJURIES, TRAUMATIC BRAIN INJURY, TRAUMATIC DEATH, FORENSIC MEDICINE
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