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Surviving a transfixing gunshot wound to the head 70 years ago.

de Almeida Prado, PS; Marques, SR; Vieira Lemos, Y; Cunha, E (2019) Surviving a transfixing gunshot wound to the head 70 years ago. Forensic Sci Med Pathol, 15 (1). pp. 159-163. ISSN 1556-2891 https://doi.org/10.1007/s12024-018-0025-4
SGUL Authors: Almeida Prado, Patricia Shirley

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Abstract

Surviving a gunshot wound to the head is a rare event, particularly in the past when medical treatment was much less advanced than it is today. Moreover, the finding of such a case as an identified specimen within a museum collection is even more uncommon. This led us to report on this unique case in this paper as it poses a challenge to forensic anthropology and provides a unique educational oppourtunity. The skull from the Collection at the Cranium Museum in the Department of Morphology and Genetic at the Federal University of São Paulo (UNIFESP) dates back to 1946. For trauma registration the bone location, severity, trauma aetiology, trauma classification, description, callus formation, periosteal reaction, degree and success of repair, and an estimate of the time elapsed since the trauma, were all assessed. To explore the case radiologically a CT scan of the skull was performed. Considering the survival of the patient and the morphology of the wound it is likely that the injury was caused by a small calibre, low-velocity gunshot. The bullet path shows an almost vertical direction on the right side of the individual's splanchno and neurocranium. The path of the projectile is consistent with a suicide attempt, although the possibility of a homicide simulating a suicide cannot be discarded. This case highlights how informative such cases can be to the practice of forensic anthropology.

Item Type: Article
Additional Information: © The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Cranium, Forensic anthropology, Gunshot wound, Healed fracture, Skull collection, Survival, Cranium, Forensic anthropology, Gunshot wound, Healed fracture, Skull collection, Survival, 1103 Clinical Sciences, Legal & Forensic Medicine
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Biomedical Education (INMEBE)
Journal or Publication Title: Forensic Sci Med Pathol
ISSN: 1556-2891
Language: eng
Dates:
DateEvent
March 2019Published
20 October 2018Published Online
16 August 2018Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 30343486
Go to PubMed abstract
URI: http://openaccess.sgul.ac.uk/id/eprint/110306
Publisher's version: https://doi.org/10.1007/s12024-018-0025-4

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