A Dialysis Patient Died from A Subdural Hematoma After a Traffic Accident
DOI:
https://doi.org/10.6911/WSRJ.202412_10(12).0001Keywords:
Subdural hematoma; Traffic accident; Hemodialysis; Uremia.Abstract
Hemodialysis (HD) is a common treatment method for maintaining the life of some patients with uremia, renal failure, etc. At present, with the increase in the number of patients undergoing long-term dialysis, it is inevitable that they will be injured due to accidents and events in production and life. In addition, medical technologies such as hemodialysis have certain risks. Patients may be intertwined with complications, trauma, underlying diseases and other factors, which can easily lead to liability disputes between the parties. For such cases, forensic workers should comprehensively consider the case, analyze the relationship between disease, injury and death, and make scientific and reasonable judgments based on sufficient materials. This article summarizes and reports a case in which a dialysis patient died of subdural hematoma (SDH) and brain herniation after a traffic accident. The causal relationship between traffic accident trauma, disease, hemodialysis and SDH is comprehensively analyzed, providing a reference for forensic identification of such cases.
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[1] Wang IK, Lin CL, Wu YY, Kuo HL, Lin SY, Chang CT, Yen TH, Chuang FR, Cheng YK, Huang CC, Sung FC. Subdural hematoma in patients with end-stage renal disease receiving hemodialysis. Eur J Neurol. 2014 Jun;21(6):894-900.
[2] Yang L, Li Z, Dai X, Wang L, Wang X, Liu H. Nontraumatic subdural hematoma in patients on hemodialysis with end-stage kidney disease: a systematic review and pooled analysis. Front Neurol. 2023 Sep 15;14:1251652.
[3] Wang IK, Cheng YK, Lin CL, Peng CL, Chou CY, Chang CT, Yen TH, Huang CC, Sung FC, Hsu CY. Comparison of Subdural Hematoma Risk between Hemodialysis and Peritoneal Dialysis Patients with ESRD. Clin J Am Soc Nephrol. 2015 Jun 5;10(6):994-1001.
[4] Aromatario M, Torsello A, D'Errico S, et al. Traumatic Epidural and Subdural Hematoma: Epidemiology, Outcome, and Dating[J]. Medicina (Kaunas). 2021 Feb 1; 57(2): 125.
[5] Anandasivam NS, Russo GS, Samuel AM, et al. Injuries Associated with Subdural Hematoma: A Study of the National Trauma Data Bank[J]. Conn Med. 2017 Apr; 81(4): 215-222.
[6] García-Pérez D, Castaño-León AM, Moreno-Gómez LM, Esteban-Sinovas O, García-Posadas G, Panero-Pérez I, Paredes I, Gómez-López PA, Lagares A. Novel CT-based parameters assessing relative cross-sectional area to guide surgical management and predict clinical outcomes in patients with acute subdural hematoma. Neuroradiology. 2023 Mar;65(3):489-501.
[7] Naylor RM, Henry KA, Peters PA, Bauman MMJ, Lakomkin N, Van Gompel JJ. High Long-Term Mortality Rate in Elderly Patients with Mild Traumatic Brain Injury and Subdural Hematoma due to Ground-Level Fall: Neurosurgery's Hip Fracture? World Neurosurg. 2022 Nov;167:e1122-e1127.
[8] Funayama K, Harada K, Koyama A, et al. The usefulness of postmortem computed tomography angiography for subdural hematoma caused by rupture of the cortical artery: A report of two autopsy cases and a literature review[J]. Leg Med (Tokyo). 2021 Nov; 53: 101941.
[9] Funayama K, Tainaka K, Koyama A, Katsuragi-Go R, Nishikawa-Harada N, Higuchi R, Aoyama T, Watanabe H, Takahashi N, Takatsuka H. Detection and Morphological Analysis of Micro-Ruptured Cortical Arteries in Subdural Hematoma: Three-Dimensional Visualization Using the Tissue-Clearing Clear, Unobstructed, Brain/Body Imaging Cocktails and Computational Analysis Method. Diagnostics (Basel). 2022 Nov 20;12(11):2875.
[10] Funayama K, Koyama A, Katsuragi-Go R, Aoyama T, Watanabe H, Takahashi N, Takatsuka H. Bleeding-Source Exploration in Subdural Hematoma: Observational Study on the Usefulness of Postmortem Computed Tomography Angiography. Diagnostics (Basel). 2023 Jul 6;13(13):2286.
[11] Christine, C., Francesco, D., Paul, V. et al. Postmortem computed tomography angiography vs. conventional autopsy: advantages and inconveniences of each method. Int J Legal Med. 2013; 127(5): 981-989.
[12] Wang I-K, Chen H-J, Cheng Y-K, et al. Subdural hematoma in diabetic patients.[J]. European journal of neurology, 2015, 22(1): 99-105.
[13] Gonsoulin M, Barnard JJ, Prahlow JA. Death resulting from ruptured cerebral artery aneurysm: 219 cases. Am J Forensic Med Pathol. 2002;23(1):5-14.
[14] Fayed A, Tarek A, Refaat MI, et al. Retrospective analysis of nontraumatic subdural hematoma incidence and outcomes in Egyptian patients with end-stage renal disease on hemodialysis[J]. Ren Fail. 2021 Dec; 43(1): 1322-1328.
[15] Meissner Anja. Hypertension and the Brain: A Risk Factor for More Than Heart Disease[J]. Cerebrovascular diseases (Basel, Switzerland), 2016, 42(3):255-262.
[16] Hsieh CY, Lai CC, Lee JS, et al. Subdural Hemorrhage in Patients with End-Stage Renal Disease Requiring Dialysis: A Single-Center Study[J]. Acta Neurol Taiwan. 2018 Mar 15;27(1): 9-17.
[17] Laic RAG, Verhamme P, Vander Sloten J, Depreitere B. Long-term outcomes after traumatic brain injury in elderly patients on antithrombotic therapy. Acta Neurochir (Wien). 2023;165(5): 1297-1307.
[18] Pieracci FM, Eachempati SR, Shou J, Hydo LJ, Barie PS. Use of long-term anticoagulation is associated with traumatic intracranial hemorrhage and subsequent mortality in elderly patients hospitalized after falls: analysis of the New York State Administrative Database. J Trauma. 2007 Sep;63(3):519-24.
[19] Guha D, Macdonald RL. Perioperative Management of Anticoagulation. Neurosurg Clin N Am. 2017 Apr;28(2):287-295.
[20] Diener HC, Hankey GJ. Primary and Secondary Prevention of Ischemic Stroke and Cerebral Hemorrhage: JACC Focus Seminar. J Am Coll Cardiol. 2020 Apr 21;75(15):1804-1818.
[21] Hsieh CH, Rau CS, Wu SC, et al. Risk Factors Contributing to Higher Mortality Rates in Elderly Patients with Acute Traumatic Subdural Hematoma Sustained in a Fall: A Cross-Sectional Analysis Using Registered Trauma Data[J]. Int J Environ Res Public Health. 2018 Nov 1; 15(11): 2426.
[22] Lin CM, Lin JW, Tsai JT, et al. Intracranial pressure fluctuation during hemodialysis in renal failure patients with intracranial hemorrhage. Acta Neurochir Suppl. 2008;101:141-144.
[23] Wakasugi M, Matsuo K, Kazama JJ, Narita I. Higher mortality due to intracerebral hemorrhage in dialysis patients: a comparison with the general population in Japan. Ther Apher Dial. 2015; 19(1):45-49.
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