Publications by authors named "K M Feld"
Central nervous system-associated lesions can frequently be found in abusive head trauma (AHT) cases. Since there are frequently no visible signs of injury on the body surface, the diagnosis of AHT can be challenging. In particular, if the affected child shows only isolated neurological symptoms, these are often misinterpreted as a minor illness.
View Article and Find Full Text PDFCase report: Electrocardiographic (ECG) recording during the hanging process.
Forensic Sci Med Pathol
August 2024
Article Synopsis
- A 48-year-old woman was discovered hanged in her bathroom while wearing a Holter monitor to track her heart activity.
- During the autopsy, signs of atypical hanging were found, and the cardiac monitor revealed a progression of heart irregularities, including periods of asystole and various degrees of heart block.
- This case is significant as it provides rare documentation of ECG changes during a hanging incident, which could help enhance understanding of the physiological processes involved in this type of death.
Cardiac tumors, especially malignant ones, are rare and diagnosis is challenging since symptoms manifest late and are often non-specific. Achieving a histological diagnosis prior to resection is also difficult because biopsies often fail to yield conclusive results. Due to the low frequency, no standard treatment protocol exists and the prognosis is poor.
View Article and Find Full Text PDFArticle Synopsis
- Subdural collections (SDCs) are critical findings in abusive head trauma (AHT) cases, with various forms such as subdural hematoma and hygroma being analyzed for their prevalence and impact on forensic injury age estimation.
- A retrospective study of 56 documented AHT cases found that most children exhibited multiple SDCs, with the mixed appearance pattern being frequent, while the newly developed classification system highlighted the complexity of these patterns.
- The study concluded that signs of recent brain injury were present in nearly all cases, and there were no significant differences between confession and non-confession groups, supporting the reliability of AHT diagnostic criteria.
Abusive head trauma (AHT) and its most common variant, the shaken baby syndrome (SBS), are predominantly characterized by central nervous system-associated lesions. Relatively little data are available on the value of skeletal and skin injuries for the diagnosis of SBS or AHT. Thus, the present study retrospectively investigated 72 cases of living children diagnosed with the explicit diagnosis of SBS during medico-legal examinations at three German university institutes of legal medicine.
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