The principles of a special type of senile cerebromeningeal angiopathy, these days usually named "congophilic angiopathy", are demonstrated on the basis of eight cases, complicated by spontaneous massive intracranial hemorrhages in seven and late traumatic hemorrhage in one of them. The occurrence of massive hemorrhages associated with congophilic angiopathy has until now only rarely been reported. The medicolegal significance of this vascular disease is emphasized by the eighth, traumatic, case, which became forensically relevant; the late massive hemorrhage had to be regarded as significantly favoured by amyloid angionecrosis, which is the main feature of congophilic angiopathy.

Aged↗

PubMedDate not supplied

[Disposal of the corpse by cement encapsulation and submersion in water].

The paper reports on a remarkable case of corpse disposal. A 32-year-old inmate of a prison with the permission to go out on weekends had disappeared since 1 1/4 years. His corpse poured in a concrete block was found in a metal-drum having been sunk in a disused part of a river. Although formation of adipocere and putrefaction was found, the corpse was in a relatively good status of conservation. The man had been killed by a punch of a forked crowbar on his head.

Adult↗

PubMedDate not supplied

[Autopsy before cremation--formality without efficacy?].

A multicentre study involving 36 out of 38 German medico-legal Institutes discovered 784 non-natural fatalities among 78,000 external examinations before cremation (1%) in 1995. These included 169 accidents, 16 suicides, 3 homicides and 589 deaths in connection with medical treatment. In the remaining 7 cases, a belated differentiation between homicide and accident was not successful. A linear projection results in 1980 non-natural fatalities among all 197,000 external examinations before cremation. This number includes 8 homicides but due to considerable inhomogeneities, a number of 40 homicides appears to be realistic. Consequently, abolishing the mandatory external examination before cremation would be equivalent to an official renouncement of solving relevant non-natural deaths. In case of a thorough external examination, a total of 18,000 non-natural fatalities including approximately 180 homicides could be detected per year during the first external examinations (n = 885,000).

Autopsy↗