1/7. Unappreciated agenesis of cerebellum in an adult: case report of a 38-year-old man.An unexpected finding at autopsy of almost complete agenesis of the cerebellum in an apparently functional, mentally subnormal 38-year-old man who died as the result of an accidental electrocution is reported. The posterior fossa was normal in appearance despite nearly complete absence of the cerebellum. A number of syndromes of cerebellar atrophy or dysgenesis have been reported, but congenital agenesis is considered a very rare condition. It does not resemble most common cerebellar malformations or acquired conditions, especially in an adult, who apparently had reasonable motor and coordinative function. The relevant literature is reviewed.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
2/7. Internal current mark in a case of suicide by electrocution.Fatalities caused by electrocution often lack specific morphologic evidence. Investigation of the death scene along with technical inspection of the electrical apparatus may help in clarifying the cause and manner of death. Cutaneous current marks may be the only sign of low voltage associated fatalities. The authors report a case of an electrician who committed suicide by electrocution using a time switch after oral ingestion of diazepam. electrodes (coins) were fixed with adhesive tape at the height of the heart to the front and back of the left side of the chest. autopsy revealed a blackish linear mark on the pleura parietalis of the inner side of the thoracic cavity, connecting the cutaneous current marks. Current-related and heat-related changes, such as hypercontraction bands of the intercostal muscles and coagulative changes of the perineurium of peripheral nerves, were found at histologic examination. Taking into consideration that the body had been under the influence of low-voltage current for 7 days, the morphologic alteration on the pleura parietalis was in accordance with an internal current mark, indicating the main route of current flow through the body. To the authors' knowledge, such a current-related phenomenon has not been reported to occur on an inner body surface before.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
3/7. Accidental electrocution during autoeroticism: a shocking case.A case of atypical autoerotic death is described. An 18-year-old white man clad in two brassieres was found dead in his bedroom by his brother. Two wet green terry cloths were under the brassiere cups, connected to the house current via two metal washers and a bifid electrical cord. literature depicting nude women was found near the victim. autopsy revealed second-degree and third-degree burns of the mammary regions. death was attributed to accidental self-electrocution. The authors will discuss typical and atypical forms of autoerotic death.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
4/7. Angiographic findings and need for amputation in high tension electrical injuries.Because it is difficult to estimate the extent of deep tissue injury clinically, angiography was carried out in 28 patients with signs of damage from current flow through the body. Eight of the arteriograms showed normal extremities, 6 showed changes of small arteries, and 38 showed injury to the main arteries. In the latter group there were 24 total arterial occlusions, narrow irregular lumens in 10, and 4 had occlusion and distal refilling. Changes in the main arteries were most often seen near major joints where the internal body resistance as well as the density of the current are higher. Injury to the main arteries resulted in severe neuromuscular damage or amputation of the limb, whereas injury to small arteries resulted in little functional deficit. Of the 25 amputations 19 were at the level of the arterial occlusion. Spasmolytic drugs did not increase filling. We conclude that early angiography is valuable for the detection of deep injury and often indicates the level of adequate amputation or the need for immediate exploration. In some patients it indicates the necessity for arterial reconstruction.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
5/7. death from electrical arc flash burns. A report of 2 cases.Two cases of fatal accidental electrocution involving high-tension cables are reported in which autopsy revealed the presence of flash burns and, more significantly, multiple circumscribed and cavitated lesions associated with arcing. attention is drawn to the danger of 'near-contact' with high-tension cables. The autopsy findings of severe internal injuries, which may be associated with the blast of the electrical discharge or occur secondary to a fall are discussed. In the absence of an adequate history, the autopsy findings may help to elucidate more accurately the circumstances of death and the type of electrical injury involved in fatal electrocution.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
6/7. hand rehabilitation after great toe transfer for thumb reconstruction.A comprehensive rehabilitation program for patients who have undergone a great toe to hand transfer for thumb reconstruction can significantly affect eventual functional outcome. When the thumb is amputated near the metacarpophalangeal joint, such a transfer provides a useful and aesthetic thumb substitute. goals of rehabilitation are to promote optimal functioning of the reconstructed hand by maximizing range of motion, preventing reduction of the first web space, facilitating adequate sensory return, and maximizing strength, coordination, and endurance. Therapeutic modalities include edema control, passive and active exercises, static and dynamic splinting, massage, sensory reeducation, and graded functional activities. Emotional adjustment and vocational adaptation are additional therapeutic concerns. Case histories of two patients are briefly reviewed along with pre- and posttransfer assessments of range of motion, strength, sensation, and dexterity.- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |
7/7. electricity-related deaths on lakes--oklahoma, 1989-1993.drowning accounts for approximately 4200 deaths each year in the united states. Although electricity is documented infrequently as a cause of such fatalities, contact with electricity can result in death through temporary paralysis and drowning of persons who are swimming or wading, or through electrocution. From June 1989 through September 1993, five persons died on lakes in oklahoma following contact or suspected contact with electrical currents. Four deaths occurred at two adjoining lakes in northeastern oklahoma (lake A), and one at a lake in the southern part of the state (lake B). The five deaths occurred among males aged 13-50 years who were either swimming, working on or near docks, or working with electricity when they sustained fatal injuries. This report summarizes the investigation of these deaths by medical examiners (MEs) and the oklahoma State Department of health (OSDH).- - - - - - - - - - ranking = 1keywords = near (Clic here for more details about this article) |