지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
In some cases, it is difficult to determine a single cause of death even after conducting full autopsy and additional tests. A 49-year-old man, reportedly having diabetes mellitus, was found unconscious by his mother and revealed to be dead. He had several contusions all over his body, including the right periocular area, but they did not appear fatal. A focal area of polymicrogyria and cortical dysplasia was found on the right preoccipital notch, accompanied with dystrophic calcification and leptomeningeal angiomatosis. These findings were considered indicative of Sturge-Weber syndrome, a rare neurocutaneous disorder, of atypical type without facial lesions. Blood level of β-hydroxybutyrate was 859 μg/mL, implying that he also had diabetic ketoacidosis. His ketoacidosis may not have been corrected appropriately because of status epilepticus in association with brain lesion, resulting in his death, but neither direct evidence nor statement was obtained. In cases with several apparent causes of death, the examiner’s assumption should be based not on imagination but on evidence, and logic should not be overlooked. It is more helpful for the investigators or the bereaved to obtain more detailed information rather than come to a hasty conclusion.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Geronemus RG / 1991 / The medical necessity of evaluation and treatment of port-wine stains / J Dermatol Surg Oncol 17 : 76 ~ 79
Jagtap S / 2013 / Sturge-Weber syndrome:clinical spectrum, disease course, and outcome of 30 patients / J Child Neurol 28 : 725 ~ 731
Kanetake J / 2005 / The relationship of a high level of serum beta-hydroxybutyrate to cause of death / Leg Med (Tokyo) 7 : 169 ~ 174
Kitabchi AE / 2008 / Thirty years of personal experience in hyperglycemic crises: diabetic ketoacidosis and hyperglycemic hyperosmolar state / J Clin Endocrinol Metab 93 : 15
Maton B / 2010 / Medically intractable epilepsy in Sturge-Weber syndrome is associated with cortical malformation: implications for surgical therapy / Epilepsia 51 : 257 ~ 26
Jagtap S / 2013 / Sturge-Weber syndrome:clinical spectrum, disease course, and outcome of 30 patients / J Child Neurol 28 : 725 ~ 731
Kanetake J / 2005 / The relationship of a high level of serum beta-hydroxybutyrate to cause of death / Leg Med (Tokyo) 7 : 169 ~ 174
Kitabchi AE / 2008 / Thirty years of personal experience in hyperglycemic crises: diabetic ketoacidosis and hyperglycemic hyperosmolar state / J Clin Endocrinol Metab 93 : 15
Maton B / 2010 / Medically intractable epilepsy in Sturge-Weber syndrome is associated with cortical malformation: implications for surgical therapy / Epilepsia 51 : 257 ~ 26
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