@article{ref1,
title="Intracranial haemorrhage and falls: cause or effect?",
journal="Irish journal of medical science",
year="2022",
author="Vrbanic, Lauren and Hunt, Ciara and Cooney, Maeve and Heffernan, Josephine and Walsh, Andrea and Heaney, Ciara and Collis, Sally Anne and Howley, Rachel and Fearon, Conor and Farrell, Michael and Brett, Francesca",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: A difficult question in autopsy practice is whether intracranial haemorrhage has resulted from or brought about a fall. MATERIAL AND METHODS: To address this we undertook a retrospective study of all autopsy reports (N = 2126) complied over a 10 year period (2009-2018). Of 720 patients who underwent a comprehensive post mortem neuropathologic examination we found 226 patients who had a history of a fall. <br><br>RESULTS: Of the 226 with a history of fall, 179 (79%) had an intrcranial haemorrhage which was classified as truamatic (n = 134, 77%) or spontaneous (n = 41, 23%. Within the traumatic group, falls from a standing height (51%) were more common than falls involving stairs (31%) or falls from a height (12%). Cerebral contusional injury (51%) and subdural haemorrhage (45%) were the most common type of haemorrhage in the traumatic group. In the spontaneous haemorrhage group cerebral amyloid angiopaty (49%) was the commonest detected cause and was typically lobar in distribution). <br><br>CONCLUSION: We are of the view that a comprehensice analysis of fatal falls with intracranial haemorrhage warrants a detailed neuropathologic examination as part of the overall death analysis.<p /> <p>Language: en</p>",
language="en",
issn="0021-1265",
doi="10.1007/s11845-022-03222-4",
url="http://dx.doi.org/10.1007/s11845-022-03222-4"
}