Fatal head injury: a sequelae to electric shock – a case report

Jayanth, SH; Hugar, Basappa S; Chandra, YP Girish; Krishnan, A Gokula

doi:10.1177/0025817214528235

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…Deaths due to electric shock are significantly increasing despite different modern preventive strategies. These shocks are a leading cause of death especially amongst construction workers [8]. Established severe internal injuries at autopsy in such cases could be associated either with the Institute of Experimental Morphology, Pathology and Anthropology with Museum Bulgarian Anatomical Society Acta Morphologica et Anthropologica, 30 (3-4) Sofia • 2023 blast of the electrical discharge or with the secondary fall [10].…”

Section: Introductionmentioning

confidence: 99%

Cause of Death: Forensic Approach in Case of Fall with Fatal Blunt Force Trauma Combined with Electrocution.

Dineva,

Timonov,

Tsranchev

et al. 2023

AMA

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Industrial fallings from height as cases rаise practical dilemma about the exact cause and the mechanism of death by forensic expert point of view. A 51-year-old man was subjected to a medico-legal autopsy at University Hospital St. George, Plovdiv, Bulgaria. An eye witness had seen the person sustaining injuries after a fall from a height from 3 rd floor of construction building (around height of 10 meters). During the corpse examination a combination of two types of different trauma -electrical trauma and blunt force trauma, was stated. Such cases are extremely rare in the routine forensic practice and there usually is a serious diagnostic forensic dilemma about the exact cause and the exact mechanism of death. New forensic approach over the corpse tries to give conclusion about these categories and tries to fix these problematic points in the given case.

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Section: Introductionmentioning

confidence: 99%

Cause of Death: Forensic Approach in Case of Fall with Fatal Blunt Force Trauma Combined with Electrocution.

Dineva,

Timonov,

Tsranchev

et al. 2023

AMA

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Anterior wrist and medial malleolus: the optimal sites for tissue selection in electric death through hand-to-foot circuit pathway

et al. 2016

Int J Legal Med

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Specific morphological changes may be absent in some cases of electrocution shocked by the voltage of 220 V or lower. In this study, we attempted to demonstrate that the anterior wrist and medial malleolus were the optimal sites with promising and significant changes in electric death through the hand-to-foot circuit pathway. We established an electric shock rat model and observed histopathologic changes in the anterior wrist and medial malleolus. The results showed that the current intensities in the left anterior wrist and right medial malleolus were remarkably higher than those in the other sites, and the nuclei long/short (L/S) axis ratios of the arterial endotheliocyte and the skeletal muscle cell in these two areas were significantly higher than those in other parts of the body. These findings suggested that the anterior wrist and/or medial malleolus soft tissues as the narrowest parts of the limbs could be used as promising and useful sites for the assessment of electrical shock death, especially in forensic pathologic evaluation.

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Anterior wrist and medial malleolus as the novel sites of tissue selection: a retrospective study on electric shock death through the hand-to-foot circuit pathway

et al. 2017

Int J Legal Med

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Our previous work demonstrated that characteristic changes could occur in the anterior wrist and medial malleolus in electric deaths through the hand-to-foot electric circuit pathway in an electric shock rat model. However, whether the same phenomenon occurs in humans is unknown. The aim of the present retrospective study was to ascertain whether the anterior wrist and medial malleolus could also be selected as the promising and significant sites in electric death through the hand-to-foot circuit pathway. Nineteen human cases from the autopsy and one clinical survivor who sustained a severe electric shock through the hand-to-foot circuit pathway were analyzed. Additional ten autopsy patients who died from traffic accidents and sudden cardiac attacks were used as the control group. Histopathological changes in the soft tissues of the anterior wrist and medial malleolus in all autopsy patients, as well as the electric current pathway of the survivor, were observed. The results showed that the nuclear polarizations in the anterior wrist and medial malleolus soft tissues of the electric death were extremely noticeable as compared with the controls. The most severe electrical injury in the survivor occurred in the anterior wrist. These findings suggest that the soft tissues of the anterior wrist and/or the medial malleolus as the narrowest parts of the limbs could be used as the complementary sites for tissue selection and considered as necessary locations for examinations to assess the electric death in medicolegal identification.

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Fatal head injury: a sequelae to electric shock – a case report

Cited by 5 publications

References 6 publications

Cause of Death: Forensic Approach in Case of Fall with Fatal Blunt Force Trauma Combined with Electrocution.

Cause of Death: Forensic Approach in Case of Fall with Fatal Blunt Force Trauma Combined with Electrocution.

Anterior wrist and medial malleolus: the optimal sites for tissue selection in electric death through hand-to-foot circuit pathway

Anterior wrist and medial malleolus as the novel sites of tissue selection: a retrospective study on electric shock death through the hand-to-foot circuit pathway

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