Penetran Travmaya Bağlı İnternal Karotis Arter Diseksiyonu ile İlişkili İskemik İnme Olgusu: Nedensellik Bağı İçin Adli Tıbbi Değerlendirme
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Anahtar Kelimeler

Karotis arter yaralanması
inme
afazi
beyin iskemisi
nedensellik

Nasıl Atıf Yapmalı

1.
Aşırdizer M, Arslan M, Demir U. Penetran Travmaya Bağlı İnternal Karotis Arter Diseksiyonu ile İlişkili İskemik İnme Olgusu: Nedensellik Bağı İçin Adli Tıbbi Değerlendirme. Bull Leg Med [Internet]. 13 Ekim 2019 [a.yer 21 Kasım 2019];24(2):155-60. Erişim adresi: https://www.adlitipbulteni.com/atb/article/view/1320

Öz

İskemik inme, önemli bir morbidite ve mortalite nedenidir. Ancak travmatik internal karotis arter diseksiyonuna bağlı iskemik inme nadir görülen bir durumdur.

Bu olgu sunumunda, 35 yaşında erkek hasta boynundan kesici-delici alet ile yaralanmış ve hastada total afazi ve sağ hemiparezi meydana gelmişti. Radyolojik incelemelerde sol parieto-temporal bölgede beyin enfarktüsü ve bıçaklama sonrası internal karotis arter diseksiyonu tanısı konuldu.

Bu olgunun adli tıp anabilim dalında yapılan adli tıbbi değerlendirmesinde, başka travmatik veya patolojik bir durumun varlığını dışlamak ve “kesici-delici alet yaralanmasına bağlı internal karotis arter yaralanması” ile “iskeminin neden olduğu inme ve afazi” arasında nedensellik bağı kurulması için nöroşirürji anabilim dalı ile işbirliği yapıldı.

Bu makalede sunulan olgu nedeniyle literatür gözden geçirilmiş, adli tıp uygulamalarında nedensellik kavramı ve prosedürü ele alınmış ve bu gibi durumlarda multidisipliner yaklaşımın önemini vurgulanmıştır.

https://doi.org/10.17986/blm.2019255366
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