Death of a middle-aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defects

Introduction: Arachnoid cyst, a congenital extra-axial lesion, has been implicated in osteolytic lesion and subdural hematoma. Cerebral venous thrombosis occasionally induces subdural hematoma. Case report: A man in his mid-forties with congenital bone defects was found dead after recumbency for mon...

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Main Authors: Yoshiteru Tamura, Keiko Matsuno, Kanako Kobayashi, Mayumi Kataoka, Kazuhisa Kawai, Hisami Araki, Ikuhisa Kameda, Hideyuki Maeda, Kyoko Ito, Ken-ichi Yoshida
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Human Pathology: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214330020300493
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author Yoshiteru Tamura
Keiko Matsuno
Kanako Kobayashi
Mayumi Kataoka
Kazuhisa Kawai
Hisami Araki
Ikuhisa Kameda
Hideyuki Maeda
Kyoko Ito
Ken-ichi Yoshida
author_facet Yoshiteru Tamura
Keiko Matsuno
Kanako Kobayashi
Mayumi Kataoka
Kazuhisa Kawai
Hisami Araki
Ikuhisa Kameda
Hideyuki Maeda
Kyoko Ito
Ken-ichi Yoshida
author_sort Yoshiteru Tamura
collection DOAJ
description Introduction: Arachnoid cyst, a congenital extra-axial lesion, has been implicated in osteolytic lesion and subdural hematoma. Cerebral venous thrombosis occasionally induces subdural hematoma. Case report: A man in his mid-forties with congenital bone defects was found dead after recumbency for months. Autopsy disclosed acute subdural hemorrhage and intracranial hemorrhage that infiltrated to the right neck through large occipital bone defects. CT demonstrateda high density area in the supratentorial venous sinuses and an infratentorial low-density mass adjacent to the bone defects, suggesting cerebral venous thrombosis and arachnoid cysts, respectively. Conclusion: This is the first report on death due to nontraumatic extracranial and subdural hemorrhage derived from cerebral venous sinuses and possibly associated with arachnoid cysts and cerebral venous thrombosis.
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spelling doaj.art-e199f9d04d2e4eada22008385521e7912022-12-21T22:29:06ZengElsevierHuman Pathology: Case Reports2214-33002020-11-0122200400Death of a middle-aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defectsYoshiteru Tamura0Keiko Matsuno1Kanako Kobayashi2Mayumi Kataoka3Kazuhisa Kawai4Hisami Araki5Ikuhisa Kameda6Hideyuki Maeda7Kyoko Ito8Ken-ichi Yoshida9Osaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, JapanOsaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, JapanOsaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, JapanOsaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, JapanOsaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, JapanOsaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, JapanOsaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, JapanOsaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, Japan; Department of Forensic Medicine, Tokyo Medical University, Shinjuku-ku, Tokyo, JapanDepartment of Pathology & Applied Neurobiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanOsaka Prefectural Office of Medical Examiner, Bamba-cho Chuo-ku, Osaka City, Osaka Prefecture, Japan; Department of Forensic Medicine, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan; Corresponding author at: Chief Medical Examiner (Emeritus Professor of University of Tokyo), Osaka Prefectural Office of Medical Examiner, 1-6 Banba-cho, Chuo-ku, Osaka city, Osaka 540-0007, Japan.Introduction: Arachnoid cyst, a congenital extra-axial lesion, has been implicated in osteolytic lesion and subdural hematoma. Cerebral venous thrombosis occasionally induces subdural hematoma. Case report: A man in his mid-forties with congenital bone defects was found dead after recumbency for months. Autopsy disclosed acute subdural hemorrhage and intracranial hemorrhage that infiltrated to the right neck through large occipital bone defects. CT demonstrateda high density area in the supratentorial venous sinuses and an infratentorial low-density mass adjacent to the bone defects, suggesting cerebral venous thrombosis and arachnoid cysts, respectively. Conclusion: This is the first report on death due to nontraumatic extracranial and subdural hemorrhage derived from cerebral venous sinuses and possibly associated with arachnoid cysts and cerebral venous thrombosis.http://www.sciencedirect.com/science/article/pii/S2214330020300493Arachnoid cystCerebral venous thrombosisHemorrhagic shockSubdural hemorrhageAutopsyCT
spellingShingle Yoshiteru Tamura
Keiko Matsuno
Kanako Kobayashi
Mayumi Kataoka
Kazuhisa Kawai
Hisami Araki
Ikuhisa Kameda
Hideyuki Maeda
Kyoko Ito
Ken-ichi Yoshida
Death of a middle-aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defects
Human Pathology: Case Reports
Arachnoid cyst
Cerebral venous thrombosis
Hemorrhagic shock
Subdural hemorrhage
Autopsy
CT
title Death of a middle-aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defects
title_full Death of a middle-aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defects
title_fullStr Death of a middle-aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defects
title_full_unstemmed Death of a middle-aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defects
title_short Death of a middle-aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defects
title_sort death of a middle aged man from nontraumatic hemorrhage derived from cerebral venous sinuses and infiltrated through bone defects
topic Arachnoid cyst
Cerebral venous thrombosis
Hemorrhagic shock
Subdural hemorrhage
Autopsy
CT
url http://www.sciencedirect.com/science/article/pii/S2214330020300493
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