The Potential Role of Radiology in Diagnosis of Traumatic Versus Non-Traumatic Cerebral Hemorrhages for Medicolegal Application

Authors

  • Mohamed Khairy1, Dina A. Shokry2, Ehab Abdelhaleem3, Reham Nafad Elbendary2

DOI:

https://doi.org/10.37506/ijfmt.v14i2.3190

Keywords:

CT, traumatic, non-traumatic, cerebral hemorrhage, forensic Introduction

Abstract

Background: Radiography is traditionally used as a complement tool for forensic examination. CT applications became widely used. Traumatic cerebral hemorrhage occurs in up to 15% of patients following head injury and non-traumatic cerebral hemorrhage accounts for up to 44% of all strokes. These two disorders are therefore very common. So there is a need for accurate diagnosis of cerebral hemorrhage form medicolegal aspect. This study aims to differentiate between traumatic and non-traumatic cerebral hemorrhage by using CT. Methods: This prospective study, was conducted on 100 patients with intracranial hemorrhage and divided in two equal groups (traumatic and non-traumatic cerebral hemorrhage) both groups were examined by CT head and the results were analyzed. Results: There was statistically significant difference between traumatic and non-traumatic cerebral hemorrhage groups in CT finding as regard type of hemorrhage with epidural, subarachnoid and intraventricular with P value (0.001, 0.005 and 0.001) respectively. Also according to site of hemorrhage in frontal lobe and subcortical with P value (0.001) equally. Conclusion: we conclude that equation Function (f) = - 0.976 (constant) + 2.873(Epidural) + 2.017 (Subarachnoid) - 0.416 (Intraventricular) + 0.984 (Frontal) -3.047 (Subcortical) If the function (f) = + values, it will be traumatic hemorrhage and if the function (f) = - values it will be pathological hemorrhage

Author Biography

Mohamed Khairy1, Dina A. Shokry2, Ehab Abdelhaleem3, Reham Nafad Elbendary2

1Armed Forces College of Medicine (AFCM), 6 Ehsan Abd El Kodous Street, Cairo 11774, Egypt, 2Department of Forensic Medicine and Clinical Toxicology, 3Department of Neurosurgery, Faculty of Medicine, Cairo University, Kasr Alainy Street, Cairo 11562, Egypt

Published

2020-04-29

How to Cite

Mohamed Khairy1, Dina A. Shokry2, Ehab Abdelhaleem3, Reham Nafad Elbendary2. (2020). The Potential Role of Radiology in Diagnosis of Traumatic Versus Non-Traumatic Cerebral Hemorrhages for Medicolegal Application . Indian Journal of Forensic Medicine & Toxicology, 14(2), 1753-1759. https://doi.org/10.37506/ijfmt.v14i2.3190