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Diffuse Axonal Injury: Its Mechanism in an Assault Case

 

作者: Imajo Takeshi,  

 

期刊: The American Journal of Forensic Medicine and Pathology  (OVID Available online 1996)
卷期: Volume 17, issue 4  

页码: 324-326

 

ISSN:0195-7910

 

年代: 1996

 

出版商: OVID

 

关键词: Axonal injury;Diffuse axonal injury;Assault;Assault by kicking;Grading of diffuse axonal injury

 

数据来源: OVID

 

摘要:

Diffuse axonal injury is caused by irreparable shearing of the axons. A case of diffuse axonal injury by a well-witnessed assault is reported. The victim survived for 13 days after the assault. The mode of assault was numerous kicks to the head of the victim lying on the ground. The kicking motion was sideways across the long axis of the body. Thus, on each impact, the victim's head moved with relative freedom or was tossed violently side to side or in a lateral, even angular or rotational, manner. This resulted in a low acceleration/deceleration rate. Grossly, the brain showed no lesions; however, a microscopic lytic lesion was present in the corpus callosum. These injuries were consistent with a grade-2 diffuse axonal injury (Adams classification).

 



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