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Title
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Pseudo-subarachnoid hemorrhage : a tricky CT finding with serious medicolegal implications
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Author
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Abstract
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| Introduction: Pseudo-subarachnoid hemorrhage is a radiological term used to describe increased attenuation values on computed tomography within the basal cisterns and subarachnoid spaces, simulating true subarachnoid hemorrhage. Cases: We present two cases of drug users, both showing a pseudo-subarachnoid hemorrhage pattern on computed tomography after a circulatory collapse with subsequent resuscitation. After fatal outcome, both cases underwent forensic autopsy including pathology and toxicological analysis. Discussion: We compared postmortem findings with antemortem imaging, and found that differentiating pseudosubarachnoid hemorrhage from true-subarachnoid hemorrhage can be quite challenging. However, medicolegal consequences are important (i.e. diagnosing a real subarachnoid hemorrhage as a pseudo-subarachnoid hemorrhage, or vice versa) since certain diagnoses may lead to a judicial inquiry, and careless diagnosis may lead to wrongful prosecution. |
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Language
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English
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Source (journal)
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Forensic imaging
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Publication
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2021
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DOI
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10.1016/J.FRI.2020.200427
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Volume/pages
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24
(2021)
, 4 p.
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Article Reference
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200427
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ISI
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000681445200003
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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