CASE REPORT PATHOLOGY/BIOLOGY
Diagnosis of Hemorrhagic Stroke in an Exhumed Brain After Three Years of Burial in a Deep Grave
Article first published online: 16 JUL 2012
© 2012 American Academy of Forensic Sciences
Journal of Forensic Sciences
Volume 57, Issue 6, pages 1665–1668, November 2012
How to Cite
Omalu, B., Hammers, J. and Luckasevic, T. (2012), Diagnosis of Hemorrhagic Stroke in an Exhumed Brain After Three Years of Burial in a Deep Grave. Journal of Forensic Sciences, 57: 1665–1668. doi: 10.1111/j.1556-4029.2012.02214.x
- Issue published online: 29 OCT 2012
- Article first published online: 16 JUL 2012
- Received 28 June 2011; and in revised form 6 Oct. 2011; accepted 22 Oct. 2011.
- forensic science;
- forensic neuropathology;
- deep grave;
Abstract: We present the forensic neuropathologic analysis of an exhumed decomposed brain following long-term interment in a 50-year-old white woman, who had been buried for 34 months. Next of kin authorized exhumation of the body for an autopsy to determine the cause of death. The embalmed body was anatomically intact and revealed decompositional changes with mold colonies. Internal viscera showed intact histomorphology. The brain revealed diffuse congestive swelling and extracellular edema with dissecting parenchymal hemorrhage and hematoma originating from the left putamen and thalamus and extending to the left lateral ventricle. Excitotoxic neuronal injury as well as penumbric parenchymal changes was noted. Cause of death was determined to be a hypertensive cerebral parenchymal hemorrhage. This case and our previously reported case are sentinel cases, which should encourage and guide the forensic neuropathologic work-up and investigation of causes of death in spite of long-term burial in deep graves.