Forensic Medicine · Mechanical Injuries (Blunt, Sharp, Regional Injuries)

A contre-coup injury of the brain is produced when:

  • A A moving blunt object strikes a stationary head
  • B A moving head strikes a stationary surface
  • C A penetrating weapon directly lacerates brain tissue
  • D Rotational forces stretch bridging veins
Correct answer: B. A moving head strikes a stationary surface

Explanation

Contre-coup injury occurs at a site diametrically opposite to the point of impact and is best seen when a moving head strikes a stationary surface (fall). The brain momentarily separates from the skull on the side of impact creating a partial vacuum, and then rebounds producing injury at the opposite pole. Coup injury (at impact site) predominates when a moving object strikes a stationary head.

Reference: The Essentials of Forensic Medicine and Toxicology (Narayan Reddy), 34th ed.

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