Punched with a fist: the etiology of a fatal XXXX .

@entity1 @entity1545 @entity308 @entity174 @entity542 @entity128 @entity204 @entity130
We report a case in which a 33-year-old @entity1 was discovered unconscious following a fistfight with another @entity1 . Emergency neurosurgical efforts to repair a depressed temporoparietal skull @entity174 and associated @entity1545 were unsuccessful. The forensic anthropologist and pathologist worked in tandem to sort out a complex combination of cranial evidence, including healed antemortem @entity130 , perimortem blunt force @entity130 , remote and recent neurosurgical intervention, and the craniotomy cut performed at autopsy. The victim had suffered @entity542 and a right temporoparietal craniotomy ten years prior to @entity204 . The perimortem cranial @entity174 were centrally located within a surgically repaired roundel of bone involving portions of the right temporal and parietal bones. Reportedly, the victim was punched on the right side of his head as he was lying on the ground with the left side of his head against an asphalt surface. A primary question in the case was whether a blow with a fist could have produced the observed @entity128 . To adequately answer that question, known data on the minimum amount of force required to @entity174 the temporoparietal region were compared to data on the amount of force generated by a blow with a fist. A biomechanics expert demonstrated that a single blow with a fist to the rigidly supported head of the victim could generate the required force to produce the observed @entity174 . The previous medical condition possibly predisposed the victim to the cranial @entity174 and contributed to the depressed nature of the @entity174 . Although @entity308 do not typically result from a blow with a fist, it was determined in this case that the @entity174 pattern was consistent with a punch to the head.
