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87 Z. Rechtsmedizin 1 (1981)

handle is hein.journals/injlegame87 and id is 1 raw text is: Zeitschrift fir Z Rechtsmed (1981) 87:1-18 Rechtsmedizin © Springer-Verlag 1981 Originalarbeiten / Original Works Die traumatische subarachnoidale Blutung * ** *** Walter Krauland Institut fOr Rechtsmedizin der Freien Universitat Berlin, Hittorfstr. 18, D-1000 Berlin 33 The Traumatic Subarachnoidal Hemorrhage Summary. In general forensic neurotraumatologic experience blunt head traumas can cause a lethal basal subarachnoid hemorrhage. Twenty-seven published cases of traumatic ruptures with either sufficiently described or histologically proven origin from an otherwise healthy basal artery system were collected and four new observations were added. In 16 cases detachments and lacerations of arteries in the region of branchings from the Circulus Willisii were described: overstretching ruptures. In eight cases longitudinal ruptures free from branchings were found: bursting ruptures. In the four new cases these 4-5 mm long ruptures were situated beside the branching of the posterior inferior cerebellar artery. The predominant number of traumas arose from fights under alcoholic influence, which could be classified as minor traumata. Generally only bruises and abrasions in the face were described, furthermore fractures of scull and jaw in three cases and an injury of the cervical vertebral column once. The histological proof of the origin of subarachnoidal hemor- rhages can be helpful for an exact answer to legal questions. Key words: Subarachnoidal hemorrhage traumatic - Stretching rupture - Bursting rupture - Aneurysm Zusammenfassung: Als Ursache einer t6dlichen basalen subarachnoidalen Blutung (SAB) kommen nach allgemeiner Erfahrung der forensischen Neuro- traumatologie auch stumpfe Kopftraumen in Betracht. Aus dem Schrifttum wurden 27 Falle gesammelt, bei denen die traumatische Ruptur einer ,,gesun- den Schlagaderstrecke hinreichend genau beschrieben und z.T. histologisch gesichert war. Hinzugefugt wurden vier neue Beobachtungen. Die Rupturen waren 16mal als Abrisse und Einrisse im Bereiche von Verzweigungen des * Herrn Prof. Dr. Emil Heinz Graul zum 60. Geburtstag ** Nach einem Vortrag anlal3lich der 59. Jahrestagung der Deutschen Gesellschaft fur Rechts- medizin am 25.9.1980 in Heidelberg *** Mit Unterstutzung der Deutschen Forschungsgemeinschaft 0044-3433/81/0087/0001/$ 3.40

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