Resumo

ALVAREZ GOMEZ, José Lev et al. Unpredictable Intracerebral Hemorrhage in a Young Male: The Importance of Post-Mortem Cranial Computed Tomography. Med. leg. Costa Rica [online]. 2023, vol.40, n.2, pp.35-40. ISSN 2215-5287.

Sudden death occurs within 24 hours after the onset of symptoms and is characterized by being clinically inexplicable, sudden, and unexpected. Due to the nature of sudden death, it is not possible an accurate diagnosis without performing an autopsy. In this brief communication, we will evaluate the case of a 33-year-old cruise employee, with no prior medical/pharmacological history, who suddenly died while resting in his cabin. Due to initial suspicions of a possible cocaine overdose death, a comprehensive toxicology panel was performed, although yielding a negative result. A cranial computed tomography without contrast reversed the initial hypothesis and the neuropathological autopsy -surprisingly- confirmed that the true cause of death was the rupture of an unknown saccular aneurysm in the Circle of Willis.

Palavras-chave : Arterial Hypertension; Circle of Willis; Neuropathological Autopsy; Saccular Aneurysm; Subarachnoid Hematoma & Sudden Death..

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