Vol III; pp 164-172
[St. Louis County Assistant ME discussing the autopsy photo of Wound 1 to the top of Brown's head]
STLCO ME: All right. so this particular one I think is probably Number 1. We are going to be looking at Wound Number 1 on the autopsy report. This is the gunshot entrance wound to the vertex of the scalp.
So positioning as I always do, it is 20 centimeters above the level of the ear, we are also going up from here. And it's, and it's near the actual midline of the head. Sn if you look, it is pretty much in the center, kind of dead on.
The hole measures 10 millimeters by 8 millimeters. It's roughly round and it has pretty level edges.
Now. when you loo at the edges as I always do. you can kind of see this little bit of pink tissue around there. that's that abrasion collar that is going to let you know theoretically this is an entrance wound.
Now I have to caveat with gunshot entrance wounds to the head. You should never just purely go by the classical thing that we talked about - arasion rings and contusions. The problem with it is the head is a skull that's underneath and that bone creates a different type of resistant path for the bullet to pass through.
The best way to determine if there is an entrance or an exit wound of the skull is on my examination, when I reflect the scalp, which is a normal part of the procedure and remove tne skull cap. when you look at the actual hole, and I think there will be some pictures eventually, we'll get to that.
When you actually look at the hole, there is a concept called beveling. Beveling is uhere you will see an outpouching of the bone. Since the outpouching of the bone is to the inner table of the gunshot wound, that's an entrance wound. If the beveling or cutpouching is on the outside of the outer table of the skull, that's called external beveling that's an exit wound.
So when I get to it, this particular wound had internal beveling, an that lets me know for sure that this is an entrance wound to the head. It is pretty much every time, I just want to make sure you understand that.
MS. WHIRLEY: Sheila Whirley. I know you can't tell exactly what posistion Michael Brown have been in to have the shot to the top of his head?
STLCO ME: The shot fired has to be above the head.
So in theory, if I'm sitting here and somebody's up there and shoots down, you have to be above, the shot has to be fired above his head in order for this to happen.
MS. ALIZADEH: Kathi Alizadeh. When you say above. you're talking the anatomical diagram?
STLCO ME: Right.
MS. ALIZADEH:: I'm just theorizing here, just theorizing So if someone in this position, in other words is bent over at the waist and the top of my head is facing the wall, that could account for a bullet that would enter the top of the head. correct?
STLCO ME: That is correct.
.
MS. ALIZADEH:: In this case you have no way of knowing where. what position his body was in when he sustained that gunshot wound?
STCO ME: No, I do not know specifically. correct.
MS. WHIRLEY: But it would he inconceivable for him to be standing at 6'4" straight up and have that shot to the top of his head from someone not as tall as him?
STLCO ME: Correct.MS. WHIRLEY: Okay.
STLCO ME: So as we always do, we want to see if there is any stippling or soot. That's not soot.- that's just his hair. That wasn't scraped all the way off with s scapple. There is no soot. there is no stippling. So in terms of range. that is a wound. that is greater than 3 feet away again.
An x-ray, full body x-ray on this particular situation. there is a bullet associated with this wound that I ultimately recovered within the soft tissue on the right side of his face that's associated with this wound, there is a projectile.
All right. There is internal beveling of this bons of the skull. which I was telling you about before that lets me know that this is an entrance wound.
The path or trajectory on this one based on the anatomical posistion is going downward it is going from the top of the head towards the feet and it is going right. Meaning that when it passes through the head and goes through the brain, you got your outer part of your skull here. it is goinq that way and burying itself. You can see it is down and to the right. So that is how you know that part.
In tems of the actual tissue that it is passing through, going through the scalp, the skin surface of the head. soft tissue, the parietal bone of your skull, that's the particular location of the skull cap specific for me, but just layman's terms just your skull.
Once it went through the skull, it hit the brain and your brain is separated in hemispheres. So you have a parietal. bone, you have a parietal lobe. So it went through the parietal lobe of the brain, then it went through the temporal lobe of the brain. This is all on the right side.
Then it passed through the right temporal bone of the skull, which is out here and punched through there and buried itself right here in the skin, the soft tissue beneath the akin on the right side of his head. So that‘: the path of the bullet.
So when it goes through there. it is going to create injuries to the btain. There are small little tears or contusions that are happening to the brain as this bullet is punching its way through the white matter of the brain. You have gray matter on the outside and white matter on the inside.
The white matter is responsible for your, the nervous impulses that are going to go through your brain. So those tracks. there ia little small oontusions there, that's just from the pathway of the bullet going through the brain.
There is also hemorrhage associated with the wound. You have multiple spaces in your brain. You have an epidural space, which is, you know, you have your skull, beneath your skull there's a space and then you have your dura. Your dura is kind of like, for lack better of a better word, the skin of the brain. In between that imaginary space is called the dural space. There's a space there.
You can get the dural. then you start getting to another space and then you get to the brain. So beneath that dural space is the subdural space.
There is blood there and there ia actual blond ch the surface of the brain, which is the suharachnoid space. There is two areas where there is blood, you have defects of where the bullet is entering and then kind of exiting out of the brain and staying in the soft tissue.
So those are the main injuries that you have associated with this wound that's passing through the skull and burying itself right there in the soft tissue.
MS. ALIZADEH: Now. Dr. [redacted] if someone who sustained that type of injury to his brain. would that immediately incapacitate him?
STLCO ME: Yes. it would.
MS. ALIZADEH: So thia person would not be able to stand or walk or he mobile in any way?
STLCO ME: No, they would not.
MS. ALIZADEH:: Would they be conscious?
MS. ALIZADEH: No, they would not.
MS. ALIZADEH: And is this a fatal injury?
STLCO ME: Yes. it is.
MS. ALIZADEH:: And is there any amount of medical intervention that would. could possibly save the life of some-one sustaining that injury?
STLCO ME: Highly unlikely.
MS. ALIZADEH: All right.
Does anybody have any questions about this injury?
GRAND JUROR: You said that you had to remove some of the hair from that area. Is it possible to get any kind of soot or anything. any kind at sampling of that or was anything sent in to be examined or is it even possible to get any type of evidence out of that?
STLCO ME: It is always possible. but nothing was sent off with regard to the hair.