-
Je něco špatně v tomto záznamu ?
Smrtelné poranění hlavy šípem vystřeleným z kuše s neobvykle zachovanou poúrazovou volní aktivitou – kazuistika
[Fatal head injury caused by a crossbow arrow with unusually preserved posttraumatic volitional activity – case report]
Řehulka Hynek, Čechová Eva, Mottlová Jitka, Valenta Martin, Mareška Zdeněk
Jazyk čeština Země Česko
Typ dokumentu kazuistiky
Odkazy
plný text volně dostupný
- MeSH
- dospělí MeSH
- intrakraniální tlak účinky léků MeSH
- kraniocerebrální traumata * diagnóza etiologie terapie MeSH
- lidé MeSH
- neurochirurgické výkony MeSH
- pitva MeSH
- pokus o sebevraždu MeSH
- příčina smrti MeSH
- střelné rány MeSH
- střelné zbraně MeSH
- terapie neúspěšná MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
Autoři prezentují případ smrtelného poranění hlavy muže mechanickou střelnou zbraní – kuší. Zraněný muž se závažným intrakraniálním poraněním nejenže byl schopen volní pohybové aktivity, ale dokonce komunikoval i s dalšími osobami na místě události. Poškozený podstoupil urgentní neurochirurgickou operaci. Osmý den však v nemocnici zemřel. Pitva ani následná šetření účast druhé osoby jednoznačně neprokázala.
The authors deal with a case of suicidal attempt resulting in a fatal head injury. A young man shot himself with a serially produced mechanical sports crossbow. The young man with a critical intracranial injury, a penetration, was nevertheless capable of basic locomotive activity, as well as of coherent communication with another people present at the scene. The critically injured patient was transported from the scene directly to medical centre where he subsequently underwent a neurologic surgery. On the eight day after the incident he died in the hospital as a result of sustained wounds. During the autopsy, a penetrating arrow-shot wound head injury was certified, occurring in the right and left temple area. Signs of a complex decompressive craniectomy were established too. The shooting channel was generally horizontally oriented, extending from the right to the left side, from behind in a 10 up to 15 degrees angle to the frontal plane, penetrating the brain from the right temple lobe and the frontal lobe, thereby pervading also frontal horns of lateral ventricles, and from the left afflicting the frontal lobe on the left side of the brain. In the course of the shooting channel, brain contusion occurred, accompanied by intraventricular haemorrhage. In addition, a heavy cerebral oedema, multiple secondary malacias, Durett haemorrhages and extensive thrombosis of cerebral sinuses were stated. In the course of police investigation, based mainly on the information given by the wounded man right after he had been found at the scene, it was revealed that another person might have been involved. The forensic autopsy, the investigation of the Police and the subsequent criminalist-ballistics expert investigation, supported by a series of experimental substitutive target shots, didn’t, however, decidedly prove that any other culprit had been involved.
Fatal head injury caused by a crossbow arrow with unusually preserved posttraumatic volitional activity – case report
- 000
- 00000naa a2200000 a 4500
- 001
- bmc16012805
- 003
- CZ-PrNML
- 005
- 20160530144630.0
- 007
- ta
- 008
- 160427s2016 xr a f 000 0|cze||
- 009
- AR
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a cze $b eng
- 044 __
- $a xr
- 100 1_
- $a Řehulka, Hynek $u Ústav soudního lékařství FN a LF UK, Plzeň $7 xx0204958
- 245 10
- $a Smrtelné poranění hlavy šípem vystřeleným z kuše s neobvykle zachovanou poúrazovou volní aktivitou – kazuistika / $c Řehulka Hynek, Čechová Eva, Mottlová Jitka, Valenta Martin, Mareška Zdeněk
- 246 31
- $a Fatal head injury caused by a crossbow arrow with unusually preserved posttraumatic volitional activity – case report
- 520 3_
- $a Autoři prezentují případ smrtelného poranění hlavy muže mechanickou střelnou zbraní – kuší. Zraněný muž se závažným intrakraniálním poraněním nejenže byl schopen volní pohybové aktivity, ale dokonce komunikoval i s dalšími osobami na místě události. Poškozený podstoupil urgentní neurochirurgickou operaci. Osmý den však v nemocnici zemřel. Pitva ani následná šetření účast druhé osoby jednoznačně neprokázala.
- 520 9_
- $a The authors deal with a case of suicidal attempt resulting in a fatal head injury. A young man shot himself with a serially produced mechanical sports crossbow. The young man with a critical intracranial injury, a penetration, was nevertheless capable of basic locomotive activity, as well as of coherent communication with another people present at the scene. The critically injured patient was transported from the scene directly to medical centre where he subsequently underwent a neurologic surgery. On the eight day after the incident he died in the hospital as a result of sustained wounds. During the autopsy, a penetrating arrow-shot wound head injury was certified, occurring in the right and left temple area. Signs of a complex decompressive craniectomy were established too. The shooting channel was generally horizontally oriented, extending from the right to the left side, from behind in a 10 up to 15 degrees angle to the frontal plane, penetrating the brain from the right temple lobe and the frontal lobe, thereby pervading also frontal horns of lateral ventricles, and from the left afflicting the frontal lobe on the left side of the brain. In the course of the shooting channel, brain contusion occurred, accompanied by intraventricular haemorrhage. In addition, a heavy cerebral oedema, multiple secondary malacias, Durett haemorrhages and extensive thrombosis of cerebral sinuses were stated. In the course of police investigation, based mainly on the information given by the wounded man right after he had been found at the scene, it was revealed that another person might have been involved. The forensic autopsy, the investigation of the Police and the subsequent criminalist-ballistics expert investigation, supported by a series of experimental substitutive target shots, didn’t, however, decidedly prove that any other culprit had been involved.
- 650 _2
- $a příčina smrti $7 D002423
- 650 _2
- $a pitva $7 D001344
- 650 _2
- $a intrakraniální tlak $x účinky léků $7 D007427
- 650 _2
- $a neurochirurgické výkony $7 D019635
- 650 12
- $a kraniocerebrální traumata $x diagnóza $x etiologie $x terapie $7 D006259
- 650 _2
- $a terapie neúspěšná $7 D017211
- 650 _2
- $a střelné rány $7 D014948
- 650 _2
- $a střelné zbraně $7 D005389
- 650 _2
- $a pokus o sebevraždu $7 D013406
- 650 _2
- $a dospělí $7 D000328
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a mužské pohlaví $7 D008297
- 655 _2
- $a kazuistiky $7 D002363
- 700 1_
- $a Čechová, Eva $u Ústav soudního lékařství FN a LF UK, Plzeň $7 xx0146596
- 700 1_
- $a Pažinová, Jitka $u Ústav soudního lékařství FN a LF UK, Plzeň $7 xx0230788
- 700 1_
- $a Valenta, Martin $u Kriminalistický ústav Policie České republiky, Praha $7 _AN086898
- 700 1_
- $a Mareška, Zdeněk $u Kriminalistický ústav Policie České republiky, Praha $7 _AN086899
- 773 0_
- $w MED00010993 $t Česko-slovenská patologie a Soudní lékařství. Soudní lékařství $x 1210-7875 $g Roč. 52-61, č. 1 (2016), s. 2-4 příl.
- 856 41
- $u https://www.prolekare.cz/casopisy/soudni-lekarstvi/2016-1/smrtelne-poraneni-hlavy-sipem-vystrelenym-z-kuse-s-neobvykle-zachovanou-pourazovou-volni-aktivitou-kazuistika-57988 $y plný text volně dostupný
- 910 __
- $a ABA008 $b A 3670 $c 753 a $y 4 $z 0
- 990 __
- $a 20160427 $b ABA008
- 991 __
- $a 20160530144750 $b ABA008
- 999 __
- $a ok $b bmc $g 1123089 $s 937196
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2016 $b 52-61 $c 1 $d 2-4 příl. $i 1210-7875 $m Česko-slovenská patologie a Soudní lékařství $o Soudní lékařství $x MED00010993 $y 79552
- LZP __
- $c NLK183 $d 20160530 $b NLK118 $a Meditorial-20160427