T�dliche Hirnverletzungen im Boxkampf

Strassmann, Georg; Helpern, Milton

doi:10.1007/bf00584058

Cited by 6 publications

(1 citation statement)

References 28 publications

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“…Weitere Beobaehtungen fiber posttraumatisehe Thrombosen der Hirnarterien machten Tiwisina (1956), Hemmer (1957), Isfort (1964), Bushart (1964, Strassman u. Helpern (1968) und Klages (1969).…”

Section: Schrifttumunclassified

Spontane oder traumatische t�dliche subarachnoidalblutung

Klages

1970

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U. KLAG~S I n~i t U t f i i r g e r i c h t l i c h e M e d i z i n u n d K r i m i n~i s t i k d e r U n i v e r s R~t H a m b u r g Eingegangen a m 3 1 . J a n u a r 1970 S p o n t a n e o u s V e r s u s T r a u m a t i c L e t h a l S u b a r a c h n o i d H e m o r r h a g eSummary. The literature referring to spontaneous or post-traumatic subarachnoid hemorrhage and to lesions of the basal cerebral arteries was compiled and evaluated. Cases with civil (compensatory) or criminal implications were particularly emphasized, as were cases suited for differential diagnosis. A total of 100 cases of subarachnoid hemorrhage is reported; of this ten wore presumably associated with blunt injury to the head. I n seven cases such causal relationship was considered highly probable. The evaluation differs depending on the respective source of bleeding.2. Rupture of a basal cerebral artery showing no pathological changes: Rupture of a basal cerebral artery showing no pathological changes is most probably traumatic, however, difficult to prove. In most cases additional criteria for such causal relationship are required: sufficient force of impact, adequate temporal relationship, exclusion of bleeding due to other causes. All these criteria must be present for criminal prosecution.3. When the source of bleeding cannot be found: In these cases evaluation is most difficult. Criminal causality is justified if thorough examination of the entire basilar cerebral artery system fails to reveal an anomaly or pathological changes, thereby excluding bleeding due to another cause. Certain typical impacts, youthful age of the deceased and very frequent alcoholic intoxication favour the assumption of such causal relationship. Key-Words:Hirnbasisarterien --plStzlicher Tod --Schi~deltrauma --Begutachtung. Zusammen]assung. Das einschl/~gige Schrifttum fiber die spontanen und posttraumatisehen basalen Subarachnoidalblutungen sowie fiber die Ver]etzungsmSglichkeiten der Hirnbasisarterien wurde zusammengestellt. Besondere Aufmerksamkeit wurde solchen Bcobachtungen des Schrifttums gewidmet, welche einen Kausalzusammenhang in strafrechtlieher oder versicherungsrechtlieher Hinsicht erkennen lassen oder umgekehrt zur differentialdiagnosti-6 Z. l%echtsmedizin • J. Legal Med. Bd. 67

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Section: Schrifttumunclassified

Spontane oder traumatische t�dliche subarachnoidalblutung

Klages

1970

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Die traumatischen Hirnschäden. Mechanogenese, Pathomorphologie und Klinik

Unterharnscheidt

1972

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Analyse eines tödlich ausgegangenen Boxkampfes mit ungewöhnlich schweren cerebralen Schäden

Colmant

Dotzauer

1980

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A boxing match with fatal outcome is described. The boxer received 21 punches in the nape of his neck, as well as many other blows. After a knock out in the 15th round he conceded the fight; some minutes later he suddenly collapsed. Deep unconsciousness, maximal dilated pupils and extensor-spasms were observed but respiration continued. Although it was possible to evacuate a subdural hematoma 30 to 45 min later, a high-grade cerebral oedema remained resistant to therapy. In addition hypoxemia caused disseminated necroses of heart-muscle fibres. Intensive hemorrhages were detected in the cervical muscles and in the dorsal parts of the intervertebral discs on the level of C 2/3 and C 3/4. Neuropathological investigation revealed the typical alterations brought about by craniotomy carried out for a subdural hematoma caused by the tearing off of Vv. cerebralis superiores, as well as extensive contusion hemorrhages. The high-grade cerebral oedema caused congestion and dislocation which led to massive hemorrhages, hypoxemia to unusually extensive hemorrhagical and white necroses of cortex and brain stem ganglions. Special attention is paid to the pathogenesis of these findings. A report on boxing--particularly professional boxing--issued by the Federal Institute of Sport Medicine in Cologne in 1977 is critically analysed.

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T�dliche Hirnverletzungen im Boxkampf

Cited by 6 publications

References 28 publications

Spontane oder traumatische t�dliche subarachnoidalblutung

Spontane oder traumatische t�dliche subarachnoidalblutung

Die traumatischen Hirnschäden. Mechanogenese, Pathomorphologie und Klinik

Analyse eines tödlich ausgegangenen Boxkampfes mit ungewöhnlich schweren cerebralen Schäden

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