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Postmortem non-invasive virtual autopsy: death by hanging in a car
Stephan Bolliger1, Michael Thali, Christian Jackowski
1Institute of Forensic Medicine, University of Berne, Buehlstrasse 20, 3012 Bern, Switzerland. bolliger@irm.unibe.ch
Journal of Forensic Sciences
|April 9, 2005
Summary
Forensic imaging using multislice-computed tomography (MSCT) and magnetic resonance imaging (MRI) can aid in determining the cause of death in cases where autopsies are refused. These advanced imaging techniques help identify strangulation, even without typical fractures.
Area of Science:
- Forensic pathology
- Medical imaging
Background:
- A deceased individual was discovered with a noose around their neck, attached to a tree and a vehicle.
- The scene suggested a unique method of suicide involving a moving vehicle.
Observation:
- Postmortem multislice-computed tomography (MSCT) and magnetic resonance imaging (MRI) were utilized to examine the body.
- The imaging focused on the neck and brain to identify signs of trauma and strangulation.
Findings:
- Cerebral hypoxia due to classic strangulation by hanging was identified as the cause of death.
- Absence of a brainstem lesion or hangman's fracture, which would be expected in a dynamic hanging scenario.
- Magnetic resonance imaging (MRI) revealed intramuscular hemorrhage in the neck, specifically at the sternocleidomastoid muscle insertions, and subcutaneous neck tissue bleeding.
Implications:
- MSCT and MRI are valuable adjuncts to external examination in postmortem investigations, particularly when autopsies are declined.
- Advanced imaging offers enhanced diagnostic value compared to traditional 2D radiographs for strangulation cases.
- Further research and comparative validation are necessary to fully establish the role of these imaging modalities in forensic pathology.