Abstract：
This case report presents a rare case of an atypical head stab wound suffered by a drug addict and inflicted with a screwdriver during drug-induced psychosis. It describes the diagnostic and treatment procedures in the hospital and the findings of the subsequent autopsy. It also analyzes the review of the interpretation of the CT scans made upon admission and the subsequent treatment by an independent medical review panel, which revealed signs of medical mismanagement. Therefore, it also discusses the legal consequences that the case may have involved for the attending physicians in addition to the consequences for the suspected perpetrator. The report raises many issues encountered in the case in terms of the clinical treatment and forensic determination of the manner of death in cases of injuries caused by sharp instruments and highlights the importance of comprehensive evaluation of the circumstantial evidence together with the clinical or autopsy findings, since such evidence may sometimes be overlooked in clinical practice.
摘要：
此病例报告介绍了一例罕见的病例，该病例是吸毒者遭受的非典型头部刺伤，并在药物引起的精神病期间使用螺丝刀造成的。它描述了医院的诊断和治疗程序以及随后的尸检结果。它还分析了一个独立的医学审查小组对入院时进行的CT扫描的解释以及随后的治疗的审查，这显示了医疗管理不善的迹象。因此,它还讨论了案件可能对主治医生的法律后果，以及对可疑肇事者的后果。报告提出了该案在锐器致伤案件的临床治疗和法医确定死亡方式方面遇到的许多问题，并强调了综合评估间接证据以及临床或尸检结果的重要性，因为这些证据在临床实践中有时会被忽视。
