ArticleUnusual Neck Lesion in a Pedestrian Caused by a Road AccidentViola, Luigi M.D.; Di Nunno, Nunzio M.D.; Costantinides, Fulvio M.D.; Lombardo, Salvatore M.D.; Mangiatordi, Stanislao M.D.; Di Nunno, Cosimo M.D.Author Information From the Sezione di Medicina Legale, Dipartimento di Medicina Interna e Medicina Pubblica, Università degli Studi di Bari, Bari (L.V., N.D.N., S.M., C.D.N.), the Istituto di Medicina Legale, Università degli Studi di Trieste (F.C.), and the Unità Operativa di Radiodiagnostica, Ospedale Maggiore, Trieste (S.L.), Italy. Manuscript received July 3, 2001; accepted September 8, 2001. Address correspondence and reprint requests to Nunzio Di Nunno, Sezione di Medicina Legale, Dipartimento di Medicina Interna e Medicina Pubblica, Università degli Sudi di Bari, Policlinico, Piazza G. Cesare n. 11, 70124 Bari, Italy. E-mail: email@example.com The American Journal of Forensic Medicine and Pathology: March 2002 - Volume 23 - Issue 1 - p 68-71 Buy Abstract The authors describe a road accident that occurred in the Trieste region of Italy in 1998, wherein a pedestrian experienced a mortal injury. During the on-site examination, the forensic officer in charge noticed, in addition to dispersed abrasions, bruises, and fractures, an unusual position of the head with a highly unusual motility of the cervical rachis and, above all, an apparent whitish fibrous elastic cord, 7–8 cm long, which came out of the mouth. The cord was found to be a segment of the spinal cord, expelled and driven into the mouth cavity by the impact. This represents an interesting case because of the specific dynamics of the accident and the type of lesion involved. This kind of spinal cord injury, in particular, is infrequent among pedestrians involved in road accidents in comparison with other road casualties. © 2002 Lippincott Williams & Wilkins, Inc.