Revisiting the canonical definition of heat hematoma: A rare case of postmortem subdural heat hematoma |
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| Affiliation: | 1. Department of Forensic Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Japan;2. Department of Forensic Medicine, National Defense Medical College, Tokorozawa, Japan;1. Istanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Neurology Department, Istanbul, Turkey;2. Istanbul University-Cerrahpaşa, Institute of Forensic Sciences and Legal Medicine, Department of Science, Istanbul, Turkey;3. Istanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Pediatrics Department, Division of Nutrition and Metabolism, Istanbul, Turkey;1. National Group of Clinical, Psychology and Forensic Psychiatry, National Institute of Legal Medicine and Forensic Sciences, Bogotá, Colombia;2. Bogotá Regional Office (DRB in Spanish), National Institute of Legal Medicine and Forensic Sciences, Bogotá, Colombia;3. Bogotá Regional Office (DRB in Spanish), National Institute of Legal Medicine and Forensic Sciences, National University of Colombia, Bogotá, Colombia;4. Hospital Universitario Mayor – Méderi, Universidad del Rosario, Bogotá, Colombia;5. Universidad del Rosario, Bogotá, Colombia;6. Universidad de Pernambuco, Bogotá, Colombia;1. Department of Forensic Medicine, University Hospital of Fattouma Bourguiba of Monastir, 5000, Tunisia;2. Department of Pathology, University Hospital of Fattouma Bourguiba of Monastir, 5000, Tunisia;1. School of Medicine, Tokyo Women''s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan;2. Department of Forensic Medicine, School of Medicine, Tokyo Women''s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan;1. Department of Pathology, Faculty of Medicine, Pavol Jozef Šafárik University and Louis Pasteur University Hospital in Košice, Rastislavova 43, 040 01, Košice, Slovakia;2. Forensic Medicine and Pathological Anatomy Workplace in Košice of Health Care Surveillance Authority, Ipeľská 1, 043 74, Košice, Slovakia |
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| Abstract: | Heat hematoma is generally recognized as a postmortem heat-induced artifact in extradural spaces found in burned bodies. Conversely, subdural hematoma in charred bodies is more indicative of antemortem trauma. Here, we present a rare case of a subdural heat hematoma in forensic practice. The subdural hematoma was found in a charred body that was determined to be dead before the fire without findings of antemortem head injury. Furthermore, the detailed determination and formation mechanism of this subdural heat hematoma are discussed. With this rare case, we propose a reconsideration of the canonical definition of heat hematoma. This report envisions benefitting forensic pathologists facing similar cases. |
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| Keywords: | Heat hematoma Subdural hematoma Charred body Carboxyhemoglobin Forensic autopsy |
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