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Related Experiment Video

Updated: Apr 20, 2026

Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
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Normal cranial postmortem CT findings in children.

T Sieswerda-Hoogendoorn1, L F M Beenen2, R R van Rijn1

  • 1Section Forensic Pediatrics, Department of Forensic Medicine, Netherlands Forensic Institute, The Hague, The Netherlands; Department of Radiology, Academic Medical Center/Emma Children's Hospital, Amsterdam, The Netherlands.

Forensic Science International
|December 2, 2014
PubMed
Summary
This summary is machine-generated.

Postmortem CT (PMCT) in children reveals normal intracranial changes, such as sinus fluid and intravascular air, unrelated to the cause of death or postmortem interval. Understanding these findings is crucial for accurate interpretation in pediatric forensic radiology.

Keywords:
Forensic sciencesPostmortem changesPutrefactionTomography, X-ray computed

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Area of Science:

  • Forensic Radiology
  • Pediatric Imaging
  • Postmortem Imaging

Background:

  • Postmortem CT (PMCT) and MRI are increasingly used in pediatric forensic investigations.
  • Distinguishing normal postmortem changes from antemortem pathology is essential for accurate interpretation.
  • Understanding common postmortem intracranial findings in children can reduce diagnostic ambiguity.

Purpose of the Study:

  • To describe common postmortem intracranial radiological findings in children using PMCT.
  • To determine the relationship between these findings, postmortem interval, and medical interventions.
  • To aid radiologists in differentiating normal postmortem changes from pathology.

Main Methods:

  • Retrospective analysis of pediatric autopsies with total body PMCT at the Netherlands Forensic Institute (2008-2011).
  • Data collected included age, gender, cause of death, and time between death and PMCT.
  • Scored findings included brain differentiation, ventricle collapse, sinus fluid, and intravascular air.

Main Results:

  • Fluid accumulation in sinuses occurred in 30-40% of developed sinuses.
  • Intravascular intracranial air was detected in 22% of pediatric cases.
  • No significant relationship was found between postmortem interval and observed findings, except for carotid artery air and IV infusion.

Conclusions:

  • Pediatric PMCT demonstrates characteristic postmortem intracranial changes.
  • These findings can mimic antemortem pathology, necessitating radiologist awareness.
  • Knowledge of normal postmortem findings improves the interpretation of pediatric PMCT scans.