Abstract：
Severe intracranial trauma during torture or assault is reportedly caused by shaken adult syndrome. However, intracranial traumas caused by natural forces, excluding human factors and collision impact, are extremely rare. We report an autopsy case of shaken adult syndrome caused by ocean wave forces. A man in his 40s without any medical history was washed away by a wave during recreational fishing. He was found approximately 500 m away from the fishing point drifting on the ocean in a state of cardiopulmonary arrest and was confirmed dead, with no response to cardiopulmonary resuscitation, 3 h after the accident. The autopsy revealed no mechanical trauma to the entire body surface, including the head. Both lungs were inflated, and pleural effusion was observed. The brain was swollen and congested, and subarachnoid hemorrhage was observed in the interhemispheric fissure and the convexity of the parietal occipital lobe. Macroscopic and microscopic hemorrhage spots were found in the brain, and the results of the blood alcohol test and urinary toxicological screening were negative. The cause of death was determined as drowning. This case demonstrates a rare but notable mechanism of injury observed in immersed bodies.
摘要：
据报道，酷刑或袭击期间的严重颅内创伤是由动摇的成人综合征引起的。然而,自然力量造成的颅内创伤,排除人为因素和碰撞影响，极为罕见。我们报告了由海浪力量引起的动摇成人综合征的尸检病例。一名40多岁没有任何病史的男子在休闲钓鱼时被海浪冲走。在心肺骤停的状态下，他被发现在离捕鱼点大约500米的地方漂流在海洋上，并被确认死亡，对心肺复苏没有反应，事故发生后3小时。尸检显示整个身体表面没有机械性创伤，包括头部。两肺都充气了,观察胸腔积液。大脑肿胀和充血，并在半球间裂及顶叶枕叶凸起处观察到蛛网膜下腔出血。大脑中发现了宏观和微观的出血点，血液酒精测试和尿液毒理学筛查结果均为阴性。死亡原因被确定为溺水。这种情况证明了在浸入体内观察到的罕见但显着的损伤机制。
