Autopsy of an unknown dead person to find out cause of death- A massive cerebrovascular accident (CVA)

Introduction: Intracerebral haemorrhage (ICH) is one of the lethal and most debilitating type of stroke affecting more than 1 million people globally every year. Most common cause of ICH is hypertension and responsible for about 70% of all ICH. Case report: Sealed dead body of 45 years old unknown male brought for autopsy to find out the cause of death. Patient was admitted to district hospital with unconscious state. Status of vital at time of admission was 210/110. Autopsy finding: No external injury was present on the body. No internal injury or abnormality seen on opening neck, chest and abdomen.Facial bone intact. No abnormality detected at scalp, cranial bone and meninges. External surface of brain was normal and intact. Brain was soft and congested. On sectioning of cerebral hemisphere huge hematoma of size 6.0×4.5 cm was present in deep left cerebral hemisphere. Conclusion: Hypertension is one of the most important risk factors for ICH. ICH is a medical emergency with high chances of morbidity as well as mortality. Advancement in early diagnosis and neurocritical care have improved and increased the survival.