skip navigation

PUBLICATIONS

Register for Latest Research

Stay Informed
Register with NCJRS to receive NCJRS's biweekly e-newsletter JUSTINFO and additional periodic emails from NCJRS and the NCJRS federal sponsors that highlight the latest research published or sponsored by the Office of Justice Programs.

NCJRS Abstract

The document referenced below is part of the NCJRS Virtual Library collection. To conduct further searches of the collection, visit the Virtual Library. See the Obtain Documents page for direction on how to access resources online, via mail, through interlibrary loans, or in a local library.

 

NCJ Number: 186704 Find in a Library
Title: Obesity-Sleep Apnea (Pickwickian) Syndrome: Autopsy Findings and a Medicolegal Review
Journal: Legal Medicine  Volume:2  Issue:1  Dated:March 2000  Pages:36-41
Author(s): Koichi Uemura; Kazuki Harada; Akiko Shiotani; Akihiko Kai; Youhei Urata; Masahiro Yasuhara; Ken-ichi Yoshida
Date Published: March 2000
Page Count: 6
Type: Report (Study/Research)
Format: Article
Language: English
Country: Japan
Annotation: This article reports a case of sleep apnea syndrome (SAS) that occurred in an obese patient after repeated episodes of respiratory failure and pneumonia; an overview of this disease from the medicolegal perspective is also provided.
Abstract: Sleep apnea syndrome is defined as the repetitive, prolonged cessation of air flow associated with hypoxemia, hypercapnia, and acidosis during sleep. A widely accepted criterion for SAS is more than 30 episodes of apnea (lasting 10 seconds or more) during 7 hours of sleep. In the case examined, a 24-year-old obese woman was found dead in her boyfriend's apartment in his absence. She had been admitted to the hospital six times previously because of diminished consciousness, respiratory failure, and pneumonia. A diagnosis of obesity-sleep apnea (Pickwickian) syndrome was made. An autopsy showed that she had an extremely small larynx, intra-alveolar hemorrhage, edema, pulmonary lymphocyte infiltration, and severe focal myocardial fibrosis. No fresh myocardial lesion, coronary arterial lesion, or findings of heart failure were determined. The woman's elder sister had also died of the same disease at the age of 23. The cause of death was diagnosed as respiratory failure and pneumonia with the SAS as the underlying cause of death. Although no autopsy reports of the SAS have been published in the field of forensic pathology, this syndrome is a predominant cause of sudden death in obese persons and could be a hidden cause of accidental death in such persons. 4 figures and 16 references
Main Term(s): Police policies and procedures
Index Term(s): Autopsy; Case studies; Death investigations; Foreign criminal justice research
To cite this abstract, use the following link:
http://www.ncjrs.gov/App/publications/abstract.aspx?ID=186704

*A link to the full-text document is provided whenever possible. For documents not available online, a link to the publisher's website is provided. Tell us how you use the NCJRS Library and Abstracts Database - send us your feedback.