<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152023000200035</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hemorragia Intracerebral Imprevisible en un Hombre Joven: La Importancia de la Tomografía computarizada craneal post-mortem]]></article-title>
<article-title xml:lang="en"><![CDATA[Unpredictable Intracerebral Hemorrhage in a Young Male: The Importance of Post-Mortem Cranial Computed Tomography]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Gómez]]></surname>
<given-names><![CDATA[José Lev]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dávila Toro]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Conte Miller]]></surname>
<given-names><![CDATA[Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabello]]></surname>
<given-names><![CDATA[Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz De La Rosa]]></surname>
<given-names><![CDATA[Kerwin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chévere Rivera]]></surname>
<given-names><![CDATA[Jaime L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santa-Rosario]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria Bellassai]]></surname>
<given-names><![CDATA[Dario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Health Sciences Antigua - School of Medicine  ]]></institution>
<addr-line><![CDATA[Saint John ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Ciencias Forenses de Puerto Rico Departamento de Patología Forense ]]></institution>
<addr-line><![CDATA[San Juan ]]></addr-line>
<country>Puerto Rico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Puerto Rico Recinto de Ciencias Médicas, Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[San Juan ]]></addr-line>
<country>Puerto Rico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Español Auxilio Mutuo Departamento de Cirugía Cardiotorácica ]]></institution>
<addr-line><![CDATA[San Juan ]]></addr-line>
<country>Puerto Rico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,CorePlus Servicios Clínicos y Patológicos  ]]></institution>
<addr-line><![CDATA[Carolina ]]></addr-line>
<country>Puerto Rico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>35</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152023000200035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152023000200035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152023000200035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La muerte súbita es aquella que ocurre dentro de las 24 horas posteriores al inicio de los síntomas y se caracteriza por ser clínicamente inexplicable, inesperada y repentina. Debido a la naturaleza de la muerte súbita, no es posible llegar a un diagnóstico preciso sin una autopsia. En esta comunicación breve, evaluaremos el caso de un empleado de crucero de 33 años, sin historial médico/farmacológico previo, el cual falleció súbitamente mientras reposaba en su camarote. Debido a las sospechas iniciales de una posible muerte causada por una sobredosis de cocaína, se le realizó un panel toxicológico abarcador el cual resultó negativo. Empero, una tomografía computarizada (TC) craneal sin contraste revirtió la hipótesis inicial y la autopsia neuropatológica -sorpresivamente- confirmó que la verdadera causa de muerte fue la ruptura de un aneurisma sacular desconocido en el polígono de Willis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aneurisma Sacular]]></kwd>
<kwd lng="es"><![CDATA[Autopsia Neuropatológica]]></kwd>
<kwd lng="es"><![CDATA[Hematoma Subaracnoideo]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión Arterial]]></kwd>
<kwd lng="es"><![CDATA[Muerte Súbita &amp; Polígono de Willis]]></kwd>
<kwd lng="en"><![CDATA[Arterial Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Circle of Willis]]></kwd>
<kwd lng="en"><![CDATA[Neuropathological Autopsy]]></kwd>
<kwd lng="en"><![CDATA[Saccular Aneurysm]]></kwd>
<kwd lng="en"><![CDATA[Subarachnoid Hematoma &amp; Sudden Death.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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