An Unfortunate Incident of 'Talk and Die': A Case Report

Extradural hematoma (EDH) is an intracranial hemorrhage often caused by blunt trauma and may be associated with skull fractures. It is characterized by a "lucid interval," where patients briefly regain consciousness before sudden deterioration, a critical feature in forensic investigations. This case involves a 40-year-old woman who suffered blunt head trauma due to domestic abuse. After losing consciousness, she regained awareness and walked 2 km before being found deceased in a locked public toilet. Autopsy revealed a left temporo-parietal skull fracture and a large EDH, with death attributed to EDH secondary to blunt trauma. The victim's ability to walk during the lucid interval underscores the importance of timely diagnosis and 24-hour monitoring to prevent early discharge. This case highlights the medico-legal implications of volitional acts during the lucid interval, stressing the need for forensic awareness in crime reconstruction.

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Publication Details

Journal
Cureus
Published
2025-08-14
DOI
https://doi.org/10.7759/cureus.90047
Primary Topic
Child Abuse and Related Trauma
Type
article
Field-Weighted Citation Impact
0.00
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article

An Unfortunate Incident of 'Talk and Die': A Case Report

O. Gambhir Singh, Arun Prakash, Utpal Tripura
Cureus
Child Abuse and Related Trauma
article

An Unfortunate Incident of 'Talk and Die': A Case Report

O. Gambhir Singh, Arun Prakash, Utpal Tripura
article en

Abstract

Extradural hematoma (EDH) is an intracranial hemorrhage often caused by blunt trauma and may be associated with skull fractures. It is characterized by a "lucid interval," where patients briefly regain consciousness before sudden deterioration, a critical feature in forensic investigations. This case involves a 40-year-old woman who suffered blunt head trauma due to domestic abuse. After losing consciousness, she regained awareness and walked 2 km before being found deceased in a locked public toilet. Autopsy revealed a left temporo-parietal skull fracture and a large EDH, with death attributed to EDH secondary to blunt trauma. The victim's ability to walk during the lucid interval underscores the importance of timely diagnosis and 24-hour monitoring to prevent early discharge. This case highlights the medico-legal implications of volitional acts during the lucid interval, stressing the need for forensic awareness in crime reconstruction.

CureusVol. 17(8)
Sri Ramachandra Medical Centre (IN), University of Kalyani (IN)
Openalex Percentile: Top 66%
Child Abuse and Related Trauma
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