Bone scintigraphy in screening of torture survivors

Mirzaei, Siroos; Knöll, Peter; Lipp, R. W.; Wenzel, Thomas; Koriska, Karl; Köhn, Horst

doi:10.1016/s0140-6736(98)05049-1

Cited by 16 publications

(19 citation statements)

References 11 publications

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“…The majority of torture survivors demonstrate personality changes, particularly in the form of a changed identity, i.e., feeling different from the person they were before torture [2]. There is also little doubt that there may be an interval between the traumatic situation and the appearance of symptoms, that the length of the interval varies, and that victims of torture show a high incidence of late physical and neuropsychiatric sequelae [3,4].…”

Section: Introductionmentioning

confidence: 99%

Regional Cerebral Blood Flow in Patients Suffering from Post-Traumatic Stress Disorder

Mirzaei¹,

Knöll²,

Keck

et al. 2001

Neuropsychobiology

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Objective: The aim of the study was to determine whether regional cerebral blood flow in survivors of torture suffering from post-traumatic stress disorder (PTSD) differed significantly from that in healthy controls. Method: We examined the cerebral regional distribution of 99m-technetium-hexamethylpropyleneamineoxime (HMPAO) using single photon emission computed tomography (SPECT) in 8 patients and in 8 healthy controls. A semi-quantitative analysis was performed in which symmetrical regions of interest (ROI) were drawn in all subjects. Results: Regional blood flow was markedly more heterogeneous in patients suffering from PTSD than in healthy controls. The differences are significant. Conclusion: Severe psychological trauma induced by torture can cause neurobiologic alterations that may contribute, even years after the original trauma, to a number of complaints commonly expressed by patients suffering from PTSD.

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Section: Introductionmentioning

confidence: 99%

Regional Cerebral Blood Flow in Patients Suffering from Post-Traumatic Stress Disorder

Mirzaei¹,

Knöll²,

Keck

et al. 2001

Neuropsychobiology

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“…Some studies were published in which imaging tools, such as bone scintigraphy, x-ray radiographs, computerized axial tomography, and ultrasound, are compared in terms of their usefulness in the assessment of alleged torture with bone and soft tissue trauma [2,3]. MRI is a relatively new modality in this area.…”

Section: Discussionmentioning

confidence: 99%

“…As a part of the medico-legal investigation, patients with the suspicion of bone damage following alleged torture occurring in the past should be referred for bone scintigraphy, which is a sensitive indicator of trauma, and may still show detectable signs there of several months or years after the torture had occurred [2,3]. Beating the soles of the feet with a stick, namely falanga, is associated with foot trauma additionally involving the ankle joints and the distal tibia which are externally bound during the act of torture.…”

Section: Discussionmentioning

confidence: 99%

Confirmation of alleged falanga torture by bone scintigraphy?Case report

Altun

Durmuş-Altun

2003

International Journal of Legal Medicine

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“…[16,17]. Differentialdiagnostisch muss an andere Ursachen gedacht werden, so dass sonstige Informationen tiber die Lebensweise vor der Inhaftierung (cave: Verletzungen anderer Ursache) beriicksichtigt werden mussen.…”

Section: Eng/emgunclassified

“…In jenen Hillen, wo harte Gegenstande in der Misshandlung verwendet wurden, kann die Knochenszintigraphie zur Evaluierung von knochernen Lasionen herangezogen werden. Die Misshandlungen konnen Monate bis Jahre zuriickliegen, in manchen Fallen konnen diese selbst nach langeren Intervallen nachgewiesen werden [16,17]. Eine sehr weit verbreitete Foltermethode besteht darin, brennende Zigaretten auf der Haut …”

Section: Multidisziplinare Befunderhebungunclassified

Medizinische Aspekte der Objektivierung von Folterfolgen

Mirzaei

Knöll²,

Köhn³

2004

Wien Klin Wochenschr

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Migration, civil wars and other conflicts in various regions of the world have led to a drastic increase in the number of displaced persons and refugees. Associated with this development is an increase in the number of torture victims seeking asylum. This means that the medical personnel is increasingly confronted with the evaluation and therapy of torture victims. The methods of verification of sequels of torture are of utmost importance in the work-up of treatment centres for survivors of torture. Since each organ can be affected by torture, a multidisciplinary cooperation is mandatory for the examination of torture victims. In this paper we shall discuss some aspects concerning the diagnosis of injuries caused by torture which are essential for interviewing and examining torture victims in order to objectify sequels of torture.

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Bone scintigraphy in screening of torture survivors

Cited by 16 publications

References 11 publications

Regional Cerebral Blood Flow in Patients Suffering from Post-Traumatic Stress Disorder

Regional Cerebral Blood Flow in Patients Suffering from Post-Traumatic Stress Disorder

Confirmation of alleged falanga torture by bone scintigraphy?Case report

Medizinische Aspekte der Objektivierung von Folterfolgen

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