Original ArticleVirtopsy Hemorrhage of the Posterior Cricoarytenoid Muscle by Blunt Force to the Neck in Postmortem Multislice Computed Tomography and Magnetic Resonance ImagingAghayev, Emin MD*; Jackowski, Christian MD*; Sonnenschein, Martin MD†; Thali, Michael MD*; Yen, Kathrin MD*; Dirnhofer, Richard MD*Author Information From the *Institute of Forensic Medicine, University of Bern, Bern, Switzerland; and the †Institute of Diagnostic Radiology, Inselspital, Bern, Switzerland. Manuscript received November 3, 2004; accepted March 17, 2005. Reprints: Emin Aghayev, MD, University of Bern, Institute of Forensic Medicine, IRM, Buehlstrasse 20, CH 3012 Bern, Switzerland. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: March 2006 - Volume 27 - Issue 1 - p 25-29 doi: 10.1097/01.paf.0000201105.07267.fe Buy Metrics Abstract In forensic autopsies, one of the most important and common signs of violence to the neck is hemorrhages of the soft tissues. The Institute of Forensic Medicine in Bern evaluates the usefulness of postmortem multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) of forensic cases prior to autopsy. The aim of this study was to prove the sensitivity of postmortem MSCT and MRI in the detection of hemorrhages of the neck muscles. A full body scan prior to and a detailed scan of the explanted larynx after autopsy were performed. MSCT detected multiple fractures of the larynx. Detailed MRI was able to demonstrate the hemorrhage of the left posterior cricoarytenoid muscle. The minor hemorrhage of the right posterior cricoarytenoid muscle could not be detected with certainty. Although more experience is required, we conclude that combined MRI and MSCT examination is a useful tool for documentation and examination of neck muscle hemorrhages in forensic cases. © 2006 Lippincott Williams & Wilkins, Inc.