AI Summary & Key Takeaways
AI InsightIn the medico-legal evaluation of this case in the forensic medicine department, case consulted with neurosurgery department for to exclude “the presence of another traumatic or pathological condition” and to establish the causality between “carotid artery injury due to stabbing” and “stroke and aphasia causing ischemia”.Because of the case presented in this article, the literature was reviewed, the concept and procedure of causality in forensic medicine applications was discussed and the importance of multidisciplinary approach was emphasized in such cases.
📌 3 Key Takeaways
Abstract
Ischemic stroke is an important cause of morbidity and mortality. However, ischemic stroke due to traumatic internal carotid artery dissection is a rare medical condition.In this case report, a 35-year-old male patient was injured with a stab in the neck and total aphasia and right hemiparesis occurred in him. In radiological examinations, brain infarction in the left parieto-temporal region and internal carotid artery dissection following stabbing were diagnosed. In the medico-legal evaluation of this case in the forensic medicine department, case consulted with neurosurgery department for to exclude “the presence of another traumatic or pathological condition” and to establish the causality between “carotid artery injury due to stabbing” and “stroke and aphasia causing ischemia”.Because of the case presented in this article, the literature was reviewed, the concept and procedure of causality in forensic medicine applications was discussed and the importance of multidisciplinary approach was emphasized in such cases.
Özet
İskemik inme, önemli bir morbidite ve mortalite nedenidir. Ancak travmatik internal karo-tis arter diseksiyonuna bağlı iskemik inme nadir görülen bir durumdur.Bu olgu sunumunda, 35 yaşında erkek hasta boynundan kesici-delici alet ile yaralanmış olup total afazi ve sağ hemiparezi meydana gelmiştir.Radyolojik incelemelerde sol parieto-temporal bölgede beyin enfarktüsü ve bıçaklama sonrası internal karotis arter diseksiyonu ta-nısı konulmuştur. Bu olgunun adli tıp anabilim dalında yapılan değerlendirilmesinde,başka travmatik veya patolojik bir durumun varlığını dışlamak ve “kesici-delici alet yaralanmasına bağlı internal karotis arter yaralanması” ile “iskeminin neden olduğu inme ve afazi” arasında nedensellik bağı kurulması için nöroşirürji anabilim dalı ile işbirliği yapılmıştır.Bu makalede sunulan olgu nedeniyle literatür gözden geçirilerek, adli tıp uygulamalarında nedensellik kavramı ve prosedürü ele alınmış, bu gibi durumlarda multidisipliner yaklaşımın önemi vurgulanmıştır.