Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/39306
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Type: Journal article
Title: Gastric distension cerebral palsy and unexpected death
Author: Byard, R.
Couper, R.
Cohle, S.
Citation: Journal of Forensic and Legal Medicine, 2001; 8(2):81-85
Publisher: Churchill Livingstone
Issue Date: 2001
ISSN: 1752-928X
Statement of
Responsibility: 
R.W. Byard, R.T.L. Couper, S. Cohle
Abstract: Two cases of unexpected death from massive gastric dilatation in individuals with severe spastic quadraparesis aged 14 and 20 years, respectively, are reported. Spontaneous rupture of the stomach occurred inone case. Predisposing factors to gastric dilatation associated with cerebral palsy include autonomic neuropathy, neuromuscular incoordination, air swallowing and malposition of the stomach. Death may be due to compromise of respiratory function caused by lung compression by the dilated stomach, or to peritonitis with sepsis. Acute gastric dilatation, with or without rupture, should be considered a potential cause of unexpected death in individuals with severe mental and physical disabilities.
RMID: 0020071961
DOI: 10.1054/jcfm.2001.0478
Appears in Collections:Pathology publications

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