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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Forensic Medicine</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Forensic Medicine</journal-title><trans-title-group xml:lang="ru"><trans-title>Судебная медицина</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2411-8729</issn><issn publication-format="electronic">2409-4161</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">765</article-id><article-id pub-id-type="doi">10.17816/fm765</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Case reports</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Экспертная практика</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="zh"><subject>临床病例报告</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Cavernous sinus thrombosis as a cause of fatal outcomes in forensic medical practice</article-title><trans-title-group xml:lang="ru"><trans-title>Тромбоз кавернозного синуса как причина летальных исходов в судебно-медицинской практике</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>海绵窦血栓在法医实践中作为死亡原因</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1941-7909</contrib-id><contrib-id contrib-id-type="spin">7169-1489</contrib-id><name-alternatives><name xml:lang="en"><surname>Muzikin</surname><given-names>Maxim I.</given-names></name><name xml:lang="ru"><surname>Музыкин</surname><given-names>Максим Игоревич</given-names></name><name xml:lang="zh"><surname>Muzikin</surname><given-names>Maxim I.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Associate Professor</p></bio><bio xml:lang="ru"><p>д.м.н., доцент</p></bio><bio xml:lang="zh"><p>MD, Dr. Sci. (Med.), Associate Professor</p></bio><email>MuzikinM@gmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3809-2903</contrib-id><contrib-id contrib-id-type="spin">9664-3215</contrib-id><name-alternatives><name xml:lang="en"><surname>Ilyasov</surname><given-names>Denis M.</given-names></name><name xml:lang="ru"><surname>Ильясов</surname><given-names>Денис Маратович</given-names></name><name xml:lang="zh"><surname>Ilyasov</surname><given-names>Denis M.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci (Med.)</p></bio><bio xml:lang="ru"><p>к.м.н.</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci (Med.)</p></bio><email>SPB118@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0052-3277</contrib-id><contrib-id contrib-id-type="spin">6752-6698</contrib-id><name-alternatives><name xml:lang="en"><surname>Iordanishvili</surname><given-names>Andrey K.</given-names></name><name xml:lang="ru"><surname>Иорданишвили</surname><given-names>Андрей Константинович</given-names></name><name xml:lang="zh"><surname>Iordanishvili</surname><given-names>Andrey K.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><bio xml:lang="zh"><p>MD, Dr. Sci. (Med.), Professor</p></bio><email>Professoraki@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4236-4219</contrib-id><contrib-id contrib-id-type="spin">2112-4568</contrib-id><name-alternatives><name xml:lang="en"><surname>Barinov</surname><given-names>Evgeny K.</given-names></name><name xml:lang="ru"><surname>Баринов</surname><given-names>Евгений Христофорович</given-names></name><name xml:lang="zh"><surname>Barinov</surname><given-names>Evgeny K.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Med.), Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><bio xml:lang="zh"><p>MD, Dr. Sci. (Med.), Professor</p></bio><email>ev.barinov@mail.ru</email><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Saint-Petersburg Medico-Social Institute</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский медико-социальный институт</institution></aff><aff><institution xml:lang="zh">Saint-Petersburg Medico-Social Institute</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Kirov Military Medical Academy</institution></aff><aff><institution xml:lang="ru">Военно-медицинская академия имени С.М. Кирова</institution></aff><aff><institution xml:lang="zh">Kirov Military Medical Academy</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Our news: Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский научно-исследовательский институт уха, горла, носа и речи</institution></aff><aff><institution xml:lang="zh">Our news: Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Moscow State University of Medicine and Dentistry named after A.I. Evdokimov</institution></aff><aff><institution xml:lang="ru">Московский государственный медико-стоматологический университет им. А.И. Евдокимова</institution></aff><aff><institution xml:lang="zh">Moscow State University of Medicine and Dentistry named after A.I. Evdokimov</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2023-02-02" publication-format="electronic"><day>02</day><month>02</month><year>2023</year></pub-date><pub-date date-type="pub" iso-8601-date="2023-03-06" publication-format="electronic"><day>06</day><month>03</month><year>2023</year></pub-date><volume>9</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><issue-title xml:lang="zh"/><fpage>57</fpage><lpage>68</lpage><history><date date-type="received" iso-8601-date="2022-12-07"><day>07</day><month>12</month><year>2022</year></date><date date-type="accepted" iso-8601-date="2022-12-12"><day>12</day><month>12</month><year>2022</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2023, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2023, Эко-Вектор</copyright-statement><copyright-statement xml:lang="zh">Copyright ©; 2023,</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2025-03-06"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://for-medex.ru/jour/article/view/765">https://for-medex.ru/jour/article/view/765</self-uri><abstract xml:lang="en"><p>Cavernous sinus thrombosis is a life-threatening condition resulting from a blockage of the cavernous sinus by a blood clot. This pathology occurs extremely rarely but is a danger to life at any age. Information about deaths from cavernous sinus thrombosis is limited and unclear in the special forensic medical literature.</p> <p>This study analyzed the results of the forensic medical examination of the corpse of a 35-year-old woman. This work outlines all stages of treatment and observation of the patient. Disease development and progression, which eventually led to a fatal outcome, were described in stages.</p> <p>The research and results were able to confirm the cause of death. Cavernous sinus thrombosis and other cerebral sinus thrombosis, as a complication of the main, timely undiagnosed, and untreated disease, is a significant problem even in modern multidisciplinary medical institutions and often causes deaths in clinical practice.</p></abstract><trans-abstract xml:lang="ru"><p>Тромбоз кавернозного синуса ― опасное, жизнеугрожающее состояние, развивающееся вследствие закупорки кровяным сгустком пещеристого (кавернозного) синуса. Возникает данная патология крайне редко, но несёт серьёзную опасность для жизни в любом возрасте. В специальной судебно-медицинской литературе информация о случаях смерти от тромбоза кавернозного синуса немногочисленна и отрывочна.</p> <p>Данная статья освещает результаты судебно-медицинской экспертизы трупа женщины 35 лет. В работе изложены все этапы лечения и наблюдения больной. Поэтапно показано развитие и прогрессирование заболевания, которое, в конечном итоге, привело к летальному исходу.</p> <p>На основании проведённого исследования и с учётом литературного анализа материала можно сделать вывод о причине смерти. Тромбоз кавернозного синуса, как и другие тромбозы синусов головного мозга, являясь осложнением основного, не диагностированного и своевременно не пролеченного заболевания, даже в современных многопрофильных лечебных учреждениях представляют собой значительную проблему и нередко становятся причиной летальных исходов в клинической практике.</p></trans-abstract><trans-abstract xml:lang="zh"><p>海绵窦血栓是一种危险的危及生命的状态，原因是血块堵塞海绵窦。这种病毒是很少见的，但是在任何年龄都对生命有很大的危险。在专门的法医文献中由于海绵窦血栓死亡的 信息是很少见和片断的。</p> <p>在本文章中描述了35岁女尸的法医鉴定结果。在文章中叙述了所有对病人进行的医疗和观察的阶段。分阶段地描述了最终导致死亡的病毒发展。</p> <p>基于进行的研究并考虑到文献的研究可以推断出死亡原因。海绵窦血栓和其他大脑的静脉窦血栓，是没有及时诊断和医疗的基础疾病的并发症，甚至在现代的多科性医院中也是一个重要问题，在临床实践中往往是死因。</p></trans-abstract><kwd-group xml:lang="en"><kwd>cavernous sinus thrombosis</kwd><kwd>rhinosinusitis</kwd><kwd>paranasal sinuses</kwd><kwd>sepsis</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>тромбоз кавернозного синуса</kwd><kwd>риносинусит</kwd><kwd>околоносовые пазухи</kwd><kwd>сепсис</kwd></kwd-group><kwd-group xml:lang="zh"><kwd>海绵窦血栓</kwd><kwd>鼻炎</kwd><kwd>鼻窦</kwd><kwd>脓毒病</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Khaydarova FA, Alieva AV, Kamalov TT, Talenova VA. 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