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He lost consciousness suddenly one hour after initial management. Successive <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> scan showed a facial fracture and a metallic foreign body in the carotid canal associated with an occlusion\/dissection of the left internal carotid, a pseudoaneurysm, and a carotid\u2010cavernous fistula. The victim died from a stroke. Autopsy confirmed that the facial abrasion was a gunshot entrance wound, the metallic foreign body being a projectile. Intracranial vascular injuries linked with gunshot wounds are most of the time isolated and due to pelet embolism. The observed vascular injury association has never been described in the existing literature. The <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> scan provided a better understanding of the chronology of events that led to death.<\/jats:p>","DOI":"10.1111\/1556-4029.12760","type":"journal-article","created":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T19:02:55Z","timestamp":1426618975000},"page":"1095-1098","source":"Crossref","is-referenced-by-count":1,"title":["Contribution of Antemortem Computed Tomography Findings to Cause of Death Determination: An Unusual Fatal Stroke"],"prefix":"10.1111","volume":"60","author":[{"given":"Camille","family":"R\u00e9rolle","sequence":"first","affiliation":[{"name":"Institut M\u00e9dico\u2010L\u00e9gal Universit\u00e9 Fran\u00e7ois Rabelais Centre Hospitalier R\u00e9gionnal Universitaire Tours France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Pucheux","sequence":"additional","affiliation":[{"name":"P\u00f4le d'Imagerie M'dicale Universit\u00e9 Fran\u00e7ois Rabelais Centre Hospitalier R\u00e9gional Universitaire Tours France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Lefrancq","sequence":"additional","affiliation":[{"name":"Centre de Pathologie Le Vauban 16 rue Clerget, BP 549 Nevers 58009 France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9line","family":"Barrault","sequence":"additional","affiliation":[{"name":"Institut M\u00e9dico\u2010L\u00e9gal Universit\u00e9 Fran\u00e7ois Rabelais Centre Hospitalier R\u00e9gionnal Universitaire Tours France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Saint\u2010Martin","sequence":"additional","affiliation":[{"name":"Institut M\u00e9dico\u2010L\u00e9gal Universit\u00e9 Fran\u00e7ois Rabelais Centre Hospitalier R\u00e9gionnal Universitaire Tours France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,17]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.59.1.26"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.154.6.2110744"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-008-0153-5"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(93)90255-G"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.3171\/2012.11.JNS121038"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.08.021"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1520\/JFS12126J"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-5096(06)60716-4"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02614925"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199510000-00030"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.173.4.10511189"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.54.7.1487"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-160X-5-3"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.07.091"},{"key":"e_1_2_4_16_1","volume-title":"Gunshot wounds: practical aspects of firearms, ballistics, and forensic techniques","author":"Di Maio VJM","year":"1999"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1201\/b13642"},{"key":"e_1_2_4_18_1","volume-title":"Trait\u00e9 de m\u00e9decine l\u00e9gale","author":"Beauthier JP","year":"2011"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2010.09.022"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1946.3.1.0058"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1971.34.2part1.0127"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100008556"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100169900200"},{"key":"e_1_2_4_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.legalmed.2012.06.004"},{"key":"e_1_2_4_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)00157-9"},{"key":"e_1_2_4_26_1","doi-asserted-by":"publisher","DOI":"10.1520\/JFS13274J"},{"key":"e_1_2_4_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-510X(97)00287-6"},{"key":"e_1_2_4_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.12.054"},{"key":"e_1_2_4_29_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2001.95.3.0412"},{"issue":"4","key":"e_1_2_4_30_1","first-page":"281","article-title":"Les faux an\u00e9vrismes art\u00e9riels traumatiques intracr\u00e2niens. 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