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Intracranial haemorrhage and falls: cause or effect?
- Source :
- Irish Journal of Medical Science; Oct2023, Vol. 192 Issue 5, p2387-2390, 4p
- Publication Year :
- 2023
-
Abstract
- Introduction: A difficult question in autopsy practice is whether intracranial haemorrhage has resulted from or brought about a fall. Material and methods: To address this we undertook a retrospective study of all autopsy reports (N = 2126) complied over a 10 year period (2009–2018). Of 720 patients who underwent a comprehensive post mortem neuropathologic examination we found 226 patients who had a history of a fall. Results: Of the 226 with a history of fall, 175 (79%) had an intracranial haemorrhage which was classified as truamatic (n = 134, 77%) or spontaneous (n = 41, 23%. Within the traumatic group, falls from a standing height (51%) were more common than falls involving stairs (31%) or falls from a height (12%). Cerebral contusional injury (51%) and subdural haemorrhage (45%) were the most common type of haemorrhage in the traumatic group. In the spontaneous haemorrhage group cerebral amyloid angiopathy (49%) was the commonest detected cause and was typically lobar in distribution). Conclusion: We are of the view that a comprehensive analysis of fatal falls with intracranial haemorrhage warrants a detailed neuropathologic examination as part of the overall death analysis. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00211265
- Volume :
- 192
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Irish Journal of Medical Science
- Publication Type :
- Academic Journal
- Accession number :
- 172345704
- Full Text :
- https://doi.org/10.1007/s11845-022-03222-4