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.
Authors
- O. Gambhir Singh (ORCID: https://orcid.org/0000-0002-3955-3185)
- Arun Prakash (ORCID: https://orcid.org/0000-0002-5575-6943)
- Utpal Tripura
Institutions
- Sri Ramachandra Medical Centre (IN)
- University of Kalyani (IN)
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