Background and aim Bilateral thalamic haemorrhage (TH) is related to hypertension or coagulation abnormality. Causality of thrombocytopenia in intracranial injury or TH is a critical legal issue in violence-related deaths.
Summary of case A drunk man in his mid-50s received a hit on the occipital region. On admission, he presented with alcohol-induced thrombocytopenia following several episodes. An emergency surgical decompression was conducted for acute bilateral subdural haematoma. In the meantime, he developed bilateral TH and died 7 hours post-surgery.
Conclusion This is the first report of bilateral TH related to trauma and reperfusion by decompression, and the first autopsy report on death associated with alcohol-induced thrombocytopenia.
- Bilateral thalamic haemorrhages
- alcohol-induced thrombocytopenia
- traumatic brain injury
- subdural haematoma
- alcoholism, forensic pathology
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Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.