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Unexpected brain finding in pre-autopsy postmortem CT.

Vasiliki Chatzaraki1, Stephan A Bolliger2, Michael J Thali2

  • 1Department of Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich, Winterthurerstrasse 190/52, CH-8057, Zurich, Switzerland. vasiliki.chatzaraki@irm.uzh.ch.

Forensic Science, Medicine, and Pathology
|June 8, 2017
PubMed
Summary
This summary is machine-generated.

Pre-autopsy postmortem computed tomography (PMCT) identified an unexpected brain abscess and frontal sinus erosion. This imaging aided forensic pathologists in taking protective measures and improving death investigations.

Keywords:
AutopsyBrain abscessPostmortem computed tomographySinusitisStreptococcus anginosusVirtopsy

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Area of Science:

  • Forensic Pathology
  • Medical Imaging
  • Neuropathology

Background:

  • Forensic autopsies investigate cause of death.
  • Postmortem imaging is increasingly used to supplement traditional autopsy.
  • Computed tomography (CT) provides detailed anatomical information.

Observation:

  • A case involving unexpected findings during pre-autopsy imaging.
  • Postmortem CT revealed a brain abscess.
  • Associated frontal sinusitis with posterior wall erosion was identified.

Findings:

  • Pre-autopsy postmortem computed tomography (PMCT) identified an unexpected brain abscess.
  • The abscess was linked to frontal sinusitis with erosion of the posterior sinus wall.
  • PMCT findings allowed for protective measures during autopsy to prevent infection.

Implications:

  • Pre-autopsy PMCT aids in early differential diagnosis.
  • Integrating postmortem imaging with autopsy enhances forensic death investigations.
  • This approach improves pathologist safety and diagnostic accuracy.