Central nervous system consequences of an unusual body disposal strategy: case report and brief experimental investigation

The body of a 73-year-old man was dismembered by his female companion for the purpose of covert disposal. The method employed included skillful separation of body parts with hacksaw and knife, piecemeal disposal of fragments, and prolonged boiling of the decapitated head. The latter treatment resulted in marked shrinkage of cranial dura mater, separation of dura mater from skull, and extrusion of brain fragments into the resultant enlarged epidural space through a dural defect due to the disproportionately greater shrinkage of dura mater compared to brain parenchyma. This resulted in curd-like brain fragments filling an enlarged epidural space and overlying a shrunken, leathery dura mater. The cranial dura mater, still adherent to the skull base, resembled a "shrunken brain" in contour but contained only the remnants of brain tissue not already extruded through the dural defect. This unusual thermal artifact is rarely illustrated or mentioned in forensic literature. The development of this postmortem artifact likely requires the presence of a specific combination of conditions which must be, but apparently rarely are, simultaneously present.     

Morphological features of gunshot injuries of the cranial bones

Morphological characteristics of gunshot injuries of the cranial dome bones depend on bullet speed and are determined by various mechanisms of the harmful action. A contusion action of the bullet is characterized by disruption of the bone tissue with formation of linear or incomplete fracture. A wedged impact is accompanied with disruption of bone structures with formation of depressed or comminuted fractures due to radial dislocation of the fragments. A perforative impact produces a hole defect the shape of which depends on bullet speed. A bursting impact of the bullet causes disruption of the bone tissue outside the bullet defect as a result of an additional radial effect of high pressure of the air wave reaching in the wounds inflicted by high-speed bullets the effect of the hydrodynamic shock in the spongy layer of the flat bone. Resultant morphological manifestations are aggravated by damage caused by hydrodynamic shock coming from the cranial cavity.     

Qualitative and Quantitative Diagnosis of Lethal Cranial Neural Tube Defects from the Fetal and Neonatal Human Skeleton,with a Case Study Involving Taphonomically Altered Remains

Abstract: Cranial neural tube defect, or anencephaly, is the absence of normal brain development because of severe developmental defect in the fetus. While the current incidence of human anencephaly ranges between 1 to 5 per 1000 births, and was higher prior to folic acid supplementation, there is no discussion of anencephaly diagnosis in the forensic literature and only one published example from the archeological record. This article presents both qualitative observations of abnormal cranial elements and an osteometric method to quantitatively determine anencephaly from forensic recovery contexts where taphonomic variables may otherwise mask diagnostic characteristics. Evidence is presented for only the second case of anencephaly diagnosed from a burial context, and the first not involving soft tissue mummification. The initial recognition and accurate prediction of anencephaly is a significant contribution to investigators recovering found human fetal remains.     

Multiple gunshot wounds of the head: an anthropological view

A decomposed body was judged at the scene to have two gunshot wounds of the thorax and three of the head. Confirmed at autopsy, the condition of the remains precluded conclusions about the precise nature of the defects. Preparation and reconstruction of the skull disclosed seven large cranial defects and a series of fractures. This preparation allowed the application of well-known principles of gunshot wound analysis. Although the analysis of specific gunshot wound defects is well covered in the literature, there are few examples of the application of gunshot wound principles to complex wound cases. Three entrances and three exits were identified. A seventh defect resulted from bullet passage. Finally, the wounds were sequenced.     

Positive identification by a skull with multiple epigenetic traits and abnormal structure of the neurocranium, viscerocranium, and the skeleton

Wormian bones are small ossicles appearing within the cranial sutures in more than 40% of skulls, most commonly at the lambdoid suture and pterion. During the skeletal analysis of an unidentified male war victim, we observed multiple wormian bones and a patent metopic suture. Additionally, the right elbow was deformed, probably as a consequence of an old trauma. The skull was analyzed by cranial measurements and computerized tomography, revealing the presence of cranial deformities including hyperbrachicrania, localized reduction in hemispheral widths, increased cranial capacity, and sclerosis of the viscerocranium. Besides unique anatomical features and their anthropological value, such skeletal abnormalities also have a forensic value as the evidence to support the final identification of the victim.     

Cranial thickness in relation to age, sex and general body build in a Danish forensic sample

The cranial thickness was measured in 64 individuals (43 males, 21 females) autopsied at our institute. The thickness was measured by taking a biopsy with a trephine at four specific locations on the skull. Complete medical records and pathologic autopsy results were available. While none of the individuals had suffered from diseases affecting bone or bone metabolism as such, a large sub group consisted of individuals with a history of, and autopsy finds consistent with, chronic substance and alcohol abuse. There was no statistically significant difference in cranial thickness measures between this group and the rest of the material. Subsequent analyses failed to reveal any correlations between the cranial thickness and sex and age and height and weight of the individual. This is in accordance with most earlier studies, which likewise show no correlation, or only very faint trends, between cranial thickness and these parameters. This study, thus, adds to other studies showing that cranial thickness cannot be used in aging or sexing human remains. Likewise, in a forensic pathological setting, cranial thickness cannot be inferred from the individuals stature and build, which may be an issue in cases of interpersonal violence with cranial trauma.     

Cranial change in Americans: 1850-1975.

This paper examines the pattern and magnitude of craniofacial change in American blacks and whites over the past 125 years. Standard metric data from 885 crania were used to document the changes from 1850 to 1975. Data from 19th century crania were primarily from anatomical collections, and 20th century data were available from the forensic anthropology data bank. Canonical correlation was used to obtain a linear function of cranial variables that correlates maximally with year of birth. Canonical correlations of year of birth with the linear function of cranial measurements ranged from 0.55 to 0.71, demonstrating that cranial morphology is strongly dependent on year of birth. During the 125 years under consideration, cranial vaults have become markedly higher, somewhat narrower, with narrower faces. The changes in cranial morphology are probably in large part due to changes in growth at the cranial base due to improved environmental conditions. The changes are likely a combination of phenotypic plasticity and genetic changes over this period.     

Classification of Porcine Cranial Fracture Patterns Using a Fracture Printing Interface,,

Distinguishing between accidental and abusive head trauma in children can be difficult, as there is a lack of baseline data for pediatric cranial fracture patterns. A porcine head model has recently been developed and utilized in a series of studies to investigate the effects of impact energy level, surface type, and constraint condition on cranial fracture patterns. In the current study, an automated pattern recognition method, or a fracture printing interface (FPI), was developed to classify cranial fracture patterns that were associated with different impact scenarios documented in previous experiments. The FPI accurately predicted the energy level when the impact surface type was rigid. Additionally, the FPI was exceedingly successful in determining fractures caused by skulls being dropped with a high‐level energy (97% accuracy). The FPI, currently developed on the porcine data, may in the future be transformed to the task of cranial fracture pattern classification for human infant skulls.     

The Role of Interface on the Impact Characteristics and Cranial Fracture Patterns Using the Immature Porcine Head Model

The role of impact interface characteristics on the biomechanics and patterns of cranial fracture has not been investigated in detail, and especially for the pediatric head. In this study, infant porcine skulls aged 2–19 days were dropped with an energy to cause fracturing onto four surfaces varying in stiffness from a rigid plate to one covered with plush carpeting. Results showed that heads dropped onto the rigid surface produced more extensive cranial fracturing than onto carpeted surfaces. Contact forces generated at fracture initiation and the overall maximum contact forces were generally lower for the rigid than carpeted impacts. While the degree of cranial fracturing from impacts onto the heavy carpeted surface was comparable to that of lower‐energy rigid surface impacts, there were fewer diastatic fractures. This suggests that characteristics of the cranial fracture patterns may be used to differentiate energy level from impact interface in pediatric forensic cases.     

Getting Ahead: Extraction of DNA from Skeletonized Cranial Material and Teeth

Between 1990 and 2018, the Defense POW/MIA Accounting Agency submitted 2177 cranial elements and 1565 teeth to the Armed Forces Medical Examiner System—Armed Forces DNA Identification Laboratory for DNA testing. In an effort to identify missing United States service members, materials were recovered from wartime losses inclusive of World War II, the Korean War, and Southeast Asia. Using four different DNA extraction protocols, DNA testing was performed using mitochondrial DNA Sanger sequencing, modified AmpFlSTR^® Yfiler?, AmpFlSTR^® MiniFiler?, PowerPlex^® Fusion, or Next Generation Sequencing. This paper aims to provide optimal strategies for the DNA testing of skeletonized cranial materials. Cranial elements produced the most consistent results in Sanger sequencing using an organic purification; however, teeth were most successful for the same platform with an inorganic purification. The inverse is true for STR testing of cranial bones. Of the cranial elements, the temporal provided the most consistent results.     

Punched with a fist: the etiology of a fatal depressed cranial fracture

We report a case in which a 33-year-old man was discovered unconscious following a fistfight with another man. Emergency neurosurgical efforts to repair a depressed temporoparietal skull fracture and associated brain injuries were unsuccessful. The forensic anthropologist and pathologist worked in tandem to sort out a complex combination of cranial evidence, including healed antemortem trauma, perimortem blunt force trauma, remote and recent neurosurgical intervention, and the craniotomy cut performed at autopsy. The victim had suffered head injuries and a right temporoparietal craniotomy ten years prior to death. The perimortem cranial fractures 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 cranial injuries. To adequately answer that question, known data on the minimum amount of force required to fracture 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 fractures. The previous medical condition possibly predisposed the victim to the cranial fractures and contributed to the depressed nature of the fractures. Although depressed cranial fractures do not typically result from a blow with a fist, it was determined in this case that the fracture pattern was consistent with a punch to the head.     

Fatal cranial injuries caused by an electric angle grinder

A case of fatal cranial injuries caused by an angle grinder is reported. The scalp lesions were typical of those produced by a cutting disk in a side-slipping movement. On the cranial vault were two bony losses of substance, one of which was deep enough for intracranial penetration of the disk. Signs of deflection of the disk, identical to those found on the scalp, were observed on the external bony table. Because of the circumstances in which the victim was discovered, in particular the damage to the machine which had a broken handle, and the lack of any indication of homicide or suicide, an accident is the most likely hypothesis.     

Ancestry Estimation Using Cranial and Postcranial Macromorphoscopic Traits

Ancestry estimation methods using macromorphoscopic (MMS) traits commonly focus exclusively on cranial morphology. The objective of this study was to demonstrate the value of postcranial MMS traits, highlighting a combined cranial/postcranial trait approach to ancestry estimation using quadratic discriminant function and a variety of machine learning classification models including artificial neural networks (aNN), random forest models, and support vector machine. Eight cranial and eleven postcranial MMS traits were collected from the Terry and Bass Skeletal Collections (American Black = 81; American White = 173). Our classification models using cranial and postcranial traits correctly classified 88–92% of the sample, improving classification accuracies by nearly fifteen percent over models relying exclusively on cranial data. These same results demonstrate the importance of a multivariate statistical framework incorporating cranial and postcranial data and the nearly unlimited potential of machine learning models to improve the accuracy of ancestry estimates over traditional methods of analysis. To facilitate implementation in casework, one of the more robust models (aNN) is incorporated into a web-based application, ComboMaMD Analytical, to facilitate cranial and postcranial MMS traits analysis for ancestry estimation.     

Use of the cranial base in the identification of fire victims

Techniques exist for using the cranial base to estimate the race and sex of skeletalized individuals in forensic science cases. The applicability of these techniques to remains of fire victims has been uncertain because of possible cranial-base shrinkage that may result from burning. To determine the amount of shrinkage resulting from low-temperature burning (less than 800 degrees C), the cranial bases of eight dissecting room cadavers were measured, the bones then burned, and the cranial fragments remeasured. The wet-bone measurements were compared to the burned-bone measurements, and the percentage of shrinkage was calculated. The average change from wet to burned bone is less than 1.00%, a figure in agreement with other published studies. Since a change of 1.00% is less than intraobserver error, it is argued that low-temperature burning--such as an average house fire--does not significantly impair the accuracy of the identification techniques. Therefore, the techniques should be applicable to many fire victims.     

Identification of human skeletal remains by comparison of bony details of the cranium using computerized tomographic (CT) scans

A case is described where a cranium from an unknown individual is identified by comparison of antemortem and postmortem computerized tomographic (CT) images of the bony structure of the skull. While on at least one occasion CT scans of individual cranial landmarks have been used to identify unknown remains, this study is remarkable because positive identification of a deceased individual was accomplished by performing a CT scan on an unidentified cranium and comparing multiple landmarks and images with corresponding features in an antemortem CT scan of a missing man. Bony details of the frontal and sphenoid sinuses, ethmoid and mastoid air cells, sagittal cranial suture, and the torcula (the internal occipital protuberance) were exactly the same on both CT scans, confirming them as the same person.     

Improving Sex Estimation from Crania Using a Novel Three‐dimensional Quantitative Method,,

This study utilizes an innovative 3D approach to discover metric variables that obtain the highest classification rates for sex estimation from the cranium. Models were constructed from 222 cranial CT scans of U.S. Whites from the Bass Donated Collection. These models were used to create a statistical bone atlas that captures the primary shape variation in the skull and facilitates rapid computer‐automated analyses. The bone atlas showed that important size‐related sex variables are bizygomatic breadth, maximum cranial length, cranial base length, and mastoid height. Shape‐related variables capture sex differences in the projection of the glabellar region, inclination of the frontal, and cranial base flexion. In addition, vault thickness is highly dimorphic, with females having on average thicker vaults in the frontal region, and males having thicker vaults in the occipital region. Cross‐validated linear discriminant analysis obtained >95% accuracy (97.5% with 11 variables and 95.5% with eight variables).     

The reliability of sex determination of skeletons from forensic context in the Balkans

In this study we have tested the applicability of morphological methods for sex assessment, based on seven pelvic and nine cranial traits, using contemporary Balkans population. The material involved in the study comprises 262 pelvic bones and 180 skulls of male individuals from two mass graves in Serbia. The material was examined separately by an experienced and an inexperienced physical anthropologists. Sex was correctly estimated by the experienced anthropologist in 100% of individuals using all of the 16 pelvic and cranial criteria. In fact, sex differences in pelvic morphology were large enough to allow sexing the individuals with 100% accuracy. Among seven features observed on the pelvic bones, the least reliable single sex indicator was the width of the great sciatic notch (with accuracy of 79.15%). Looking at the skull alone, sex was correctly determined in 70.56% cases. It was shown that the most accurate single indicators among cranial methods was the robustness of the mandible (with accuracy of 70.93%), while the sharpness of the supraorbital margins was the least reliable indicator demonstrating accuracy in only 28.75% of crania. Examination of the sample by an individual with training in physical anthropology, but no case experience, suggests that experience is likely to contribute moderately to the accuracy of the sex determination. Namely, the inexperienced anthropologist accurately assessed the sex of the sample 95.04% of the time; 4.06% less accurate than the experienced anthropologist. The two anthropologists showed the least agreement in scoring the ventral arc and composite arc on the pelvic bones.     

Peculiarities of destruction in the facial area of the skull

Injuries observed in the facial skull area (FSA) in trauma made by hard blunt objects are registered within the forensic medical examinations of cadavers by far more rare than they are actually encountered in life. At the same time, a statement made to the effect that it was FSA that was affected in injuries of the cerebral skull area (CSA) is of an important forensic medical value. According to our research, the "strength beams" present in FSA and CSA are ovals and semi-ovals positioned above one another in 3 layers (top, medium and low ones). The anterior sections of all layers of FSA "strength beams" and of adjoining CSA regions, i.e. the squama of frontal bone (low one third of it) as well as anterior and middle cranial fossas, are a single deformative strength system. Specific features of each impact-zone region affect greatly a character of injuries in FSA at traumas in the medium facial third. Bones in the anterior and middle cranial fossas are damaged, apart from cranial injuries, in certain variations of impacts to FSA.