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An Unfortunate Incident of 'Talk and Die': A Case Report
Utpal Tripura1, Gambhir Singh1, Arun Prakash2
1Forensic Medicine, All India Institute of Medical Sciences, Kalyani, Kolkata, IND.
Abstract:
Extradural hematoma (EDH) is an intracranial hemorrhage often caused by blunt trauma and may be associated with skull fractures. It is characterized by a "lucid interval," where patients briefly regain consciousness before sudden deterioration, a critical feature in forensic investigations. This case involves a 40-year-old woman who suffered blunt head trauma due to domestic abuse. After losing consciousness, she regained awareness and walked 2 km before being found deceased in a locked public toilet. Autopsy revealed a left temporo-parietal skull fracture and a large EDH, with death attributed to EDH secondary to blunt trauma. The victim's ability to walk during the lucid interval underscores the importance of timely diagnosis and 24-hour monitoring to prevent early discharge. This case highlights the medico-legal implications of volitional acts during the lucid interval, stressing the need for forensic awareness in crime reconstruction.
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