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Related Concept Videos

Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Traumatic Brain Injury l: Introduction01:28

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...

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Lateral Fluid Percussion: Model of Traumatic Brain Injury in Mice
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Fatal Traumatic Brain Injury With Traumatic Axonal Injury, From a Nonpenetrating Sponge Round: A Forensic Case

Devan C Corpuz1, Brennan M Pott1, Clare H Bryce1,2

  • 1Reno School of Medicine, University of Nevada, Reno, NV.

The American Journal of Forensic Medicine and Pathology
|February 19, 2026
PubMed
Summary
This summary is machine-generated.

Fatal traumatic brain injury from nonpenetrating sponge rounds is rare. This case highlights severe head trauma and axonal injury from a sponge round impact, underscoring the need for careful evaluation of kinetic impact projectile use.

Keywords:
forensic neuropathologyforensic pathologykinetic impact projectilesnonlethal projectilestraumatic axonal injurytraumatic brain injury

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Area of Science:

  • Neuroscience
  • Forensic Pathology
  • Traumatology

Background:

  • Nonpenetrating kinetic impact projectiles (KIPs) like rubber bullets and sponge rounds can cause injury and death.
  • Fatal traumatic brain injury (TBI) from these projectiles is uncommon.

Purpose of the Study:

  • To document a rare case of fatal neurotrauma from a nonpenetrating sponge round.
  • To emphasize the importance of neuropathological examination in assessing severe head injuries.

Main Methods:

  • Case report of a 38-year-old male who sustained a fatal head injury from a sponge round.
  • Autopsy and histologic examination to determine the extent of brain injury, including hemorrhage, contusions, edema, and axonal injury.

Main Results:

  • The impact caused severe TBI with traumatic axonal injury, subdural and subarachnoid hemorrhage, cortical contusions, cerebral edema, and Duret hemorrhages.
  • No skull fractures were identified.
  • Histology confirmed both traumatic and ischemic axonal injury.

Conclusions:

  • This case demonstrates fatal neurotrauma from a nonpenetrating KIP, specifically a sponge round.
  • The findings have implications for forensic investigations and the use of KIPs in law enforcement and crowd control.
  • Recognition of severe head injury potential from nonpenetrating projectiles is crucial.