A clear presentation of intracranial hypostasis on PMCT

J Forensic Leg Med. 2023 Jul:97:102540. doi: 10.1016/j.jflm.2023.102540. Epub 2023 May 11.


Intracranial hypostasis is a common postmortem change evident on postmortem CT (PMCT), but can be readily misinterpreted as subdural hematoma by inexperienced physicians. Although PMCT is necessarily lacking contrast enhancement, we reconstructed hypostatic sinuses into three-dimensional images resembling the results of in vivo venography. This simple methodology facilitates easy recognition of intracranial hypostasis.

Keywords: 3D-CT; Intracranial hypostasis; Postmortem CT; Subdural hematoma.

MeSH terms

  • Diagnosis, Differential
  • Forensic Medicine
  • Hematoma, Subdural* / diagnostic imaging
  • Humans
  • Imaging, Three-Dimensional
  • Intracranial Thrombosis* / diagnostic imaging
  • Phlebography
  • Postmortem Changes*
  • Tomography, X-Ray Computed