{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:08:45Z","timestamp":1777896525330,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T00:00:00Z","timestamp":1395100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p>Skull fractures occur when forces striking the head exceed the mechanical integrity of the calvarium. A depressed skull fracture is a break in a cranial bone with depression of the bone into the brain. A depressed fracture may be open ( compound), with a skin laceration over the fracture, or closed ( simple), when the overlying tissue is not disrupted. The association between simple depressed fracture of the skull and elderly is rare. Paget disease of the bone is a chronic disease characterized by the deposition of abnormal bone tissue, more fragile than normal bone. We report a case of a 92-year-old man who was found supine on the floor in his residence, showing multiple signs of trauma. X-rays and computed tomography scans were performed, showing a simple depressed skull fracture on the right occipital-temporal area and even the characteristics of Paget disease of the skull. The first hypothesis was death due to voluntary homicide. A detailed study of clinical reports, laboratory tests, radiograph scans, and post mortem examination data allowed us to reconstruct the event. Death was finally ruled due to a mild passive trauma, suggesting the unlawful killing of a human without criminal intent, meaning involuntary manslaughter.<\/jats:p>","DOI":"10.1177\/0025802414524384","type":"journal-article","created":{"date-parts":[[2014,3,18]],"date-time":"2014-03-18T21:49:01Z","timestamp":1395179341000},"page":"44-49","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A simple depressed skull fracture in an old man with Paget disease: forensic implications in a rare case"],"prefix":"10.1177","volume":"55","author":[{"given":"Lorenzo","family":"Gitto","sequence":"first","affiliation":[{"name":"Department of Anatomy, Histology, Legal Medicine and Orthopedics, \u201cSapienza\u201d University of Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ponni","family":"Arunkumar","sequence":"additional","affiliation":[{"name":"Cook County Medical Examiner's Office, Chicago, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aniello","family":"Maiese","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Legal Medicine and Orthopedics, \u201cSapienza\u201d University of Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"Bolino","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Legal Medicine and Orthopedics, \u201cSapienza\u201d University of Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,3,18]]},"reference":[{"key":"bibr1-0025802414524384","first-page":"148","volume-title":"Forensic pathology","author":"Di Maio","year":"2001","edition":"2"},{"key":"bibr2-0025802414524384","first-page":"460","volume-title":"Spitz and Fisher\u2019s medicolegal investigation of death. 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