The Potential Role of Radiology in Diagnosis of Traumatic Versus Non-Traumatic Cerebral Hemorrhages for Medicolegal Application

Abstract

Background: Radiography is traditionally used as a complement tool for forensic examination. CT applications became widely used. Traumatic cerebral hemorrhage occurs in up to 15% of patients following head injury and non-traumatic cerebral hemorrhage accounts for up to 44% of all strokes. These two disorders are therefore very common. So there is a need for accurate diagnosis of cerebral hemorrhage form medicolegal aspect. This study aims to differentiate between traumatic and non-traumatic cerebral hemorrhage by using CT. Methods: This prospective study, was conducted on 100 patients with intracranial hemorrhage and divided in two equal groups (traumatic and non-traumatic cerebral hemorrhage) both groups were examined by CT head and the results were analyzed. Results: There was statistically significant difference between traumatic and non-traumatic cerebral hemorrhage groups in CT finding as regard type of hemorrhage with epidural, subarachnoid and intraventricular with P value (0.001, 0.005 and 0.001) respectively. Also according to site of hemorrhage in frontal lobe and subcortical with P value (0.001) equally. Conclusion: we conclude that equation Function (f) = - 0.976 (constant) + 2.873(Epidural) + 2.017 (Subarachnoid) - 0.416 (Intraventricular) + 0.984 (Frontal) -3.047 (Subcortical) If the function (f) = + values, it will be traumatic hemorrhage and if the function (f) = - values it will be pathological hemorrhage