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Bilateral thalamic haemorrhage and intracranial injuries related to alcohol-induced thrombocytopenia
  1. Yasuhiro Ishii1,
  2. Kazuki Harada1,
  3. Ryouhei Kuroda1,
  4. Hisashi Nagai1,
  5. Makoto Nakajima1,
  6. Nobuhito Saito2,
  7. Kiyoyuki Ogata3,
  8. Ken-ichi Yoshida1
  1. 1Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
  2. 2Department of Neurosurgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
  3. 3Department of Hematological Medicine, Nihon Medical University, Tokyo, Japan
  1. Correspondence to Professor Ken-ichi Yoshida, Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan; kyoshida{at}m.u-tokyo.ac.jp

Abstract

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
  • neuropathology
  • trauma
  • forensic
  • haemato-oncology
  • haematology
  • haematopathology

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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