L�ngsrupturen an den Wirbelschlagadern

Krauland, W; Maxeiner, H; Siekmann, Helmut

doi:10.1007/bf00201206

Cited by 4 publications

(1 citation statement)

References 3 publications

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“…Nachdem Metz (1949) experimentell nachweisen konnte, dab zur Ruptur einer ,,gesunden" Hirnschlagader der bis zu 10fache Druck efforderlich ist, haben Krauland et al (1981) im Modellversuch aufgezeigt, dab es bei Abklemmungen im Geffil3system zu einer pl6tzlichen intravasalen Druckerh6hung kommt, die vor allem an den Abgangsstellen der Schlagadern zu Lfingsrupturen ffihrt. Besonders die A. cerebelli inferior scheint bei brfisken Bewegungen gef~ihrdet zu sein, und es bedaft einer subtilen Prgparation, um die Rupturstellen (meist Lfingsrisse) zu erfassen.…”

Section: Morphologie Der Aneurysmenunclassified

Zur Ph�nomenologie und Morphologie spontaner t�dlicher Hirnaneurysmablutungen

1986

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Hemorrhages from rupturing aneurysms in the main cerebral arteries are repeatedly the object of forensic dissection. The victims are often relatively young, death is sudden and unexpected, and there is no known history of serious illness. Of a total 62,888 dissections carried out by the Institut für Rechtsmedizin of the Free University of Berlin (1956-1984), the University of Hamburg (1970-1984), and the University of Munich (1964-1984), there were 246 such cases (0.39% of the dissected material); 122 were male and 124 female. To compare possible differences between these cases and clinically conducted autopsies with regard to localization and extent of the aneurysm, age and sex of the deceased, an evaluation of the dissected material of the Department of Neuropathology, University Hospital, Hamburg-Eppendorf (1960-1984) was carried out simultaneously in altogether 160 cases, 66 male and 94 female. The phenomena are discussed. In the morphological findings, particular attention is focused on the occasional difficulty in establishing the source of the hemorrhage, which is of crucial importance when differentiating from traumatically caused hemorrhages. Some specific, particularly problematic causes (e.g., where errors were made in medical treatment), are presented in the form of case histories.

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Section: Morphologie Der Aneurysmenunclassified

Zur Ph�nomenologie und Morphologie spontaner t�dlicher Hirnaneurysmablutungen

1986

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Verletzungen der A. carotis communis durch Reanimationsma�nahmen

Saternus

Fuchs

1982

Z Rechtsmed

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The status of the large vessels of the neck was determined after emergency intubation in 65 primary atraumatic casualties in the endeavor to provide accident surgeons working under extreme conditions with a check on results to optimize their therapy. Besides the findings in the vertebral artery (shown in 35 cases), which was traumatized in one case, the main attention was dedicated to the injury pattern of the common carotid artery. In this artery, intimal ruptures within the bifurcation were found in three cases, combined in one case with a subintimal hemorrhage on the contralateral side. As compared to other forms of force leading to an injury of the common carotid artery, reanimation causing traction and hyperextension of the neck is also considered an injurious stress. The unconscious patient is especially endangered as he has no possibility of pain-elicited defense if a helper hyperextends the neck under pressure from below in the vertex of the lordosis.

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Injury of the vertebral artery in suicidal hanging

Saternus

1984

Forensic Science International

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L�ngsrupturen an den Wirbelschlagadern

Cited by 4 publications

References 3 publications

Zur Ph�nomenologie und Morphologie spontaner t�dlicher Hirnaneurysmablutungen

Zur Ph�nomenologie und Morphologie spontaner t�dlicher Hirnaneurysmablutungen

Verletzungen der A. carotis communis durch Reanimationsma�nahmen

Injury of the vertebral artery in suicidal hanging

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