Strangulation: A review of ligature, manual, and postural neck compression injuries

Iserson, Kenneth V.

doi:10.1016/s0196-0644(84)80609-5

Cited by 100 publications

(61 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pathophysiologically, there are three mechanisms of strangulation leading to death [1][2][3]: (1) venous obstruction, leading to cerebral stagnation, hypoxia, and unconsciousness, which allows muscle tone relaxation and final arterial and airway obstruction; (2) arterial spasm due to carotid pressure, leading to low cerebral blood flow and collapse; (3) vagal collapse caused by pressure to the carotid sinuses and increased parasympathetic tone. Interestingly, none of the proposed mechanisms emphasises airway compromise alone.…”

Section: Introductionmentioning

confidence: 99%

Life-threatening versus non-life-threatening manual strangulation: are there appropriate criteria for MR imaging of the neck?

et al. 2009

View full text Add to dashboard Cite

The aim of the study was to determine objective radiological signs of danger to life in survivors of manual strangulation and to establish a radiological scoring system for the differentiation between life-threatening and non-life-threatening strangulation by dividing the cross section of the neck into three zones (superficial, middle and deep zone). Forensic pathologists classified 56 survivors of strangulation into life-threatening and non-lifethreatening cases by history and clinical examination alone, and two blinded radiologists evaluated the MRIs of the neck. In 15 cases, strangulation was life-threatening (27%), compared with 41 cases in which strangulation was non-life-threatening (73%). The best radiological signs on MRI to differentiate between the two groups were intramuscular haemorrhage/oedema, swelling of platysma and intracutaneous bleeding (all p=0.02) followed by subcutaneous bleeding (p=0.034) and haemorrhagic lymph nodes (p=0.04), all indicating life-threatening strangulation. The radiological scoring system showed a sensitivity and specificity of ≈70% for life-threatening strangulation, when at least two neck zones were affected. MRI is not only helpful in assessing the severity of strangulation, but is also an excellent documentation tool that is even admissible in court.

show abstract

Section: Introductionmentioning

confidence: 99%

Life-threatening versus non-life-threatening manual strangulation: are there appropriate criteria for MR imaging of the neck?

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Vagal collapse caused by pressure to the carotid sinuses and increased parasympathetic tone. [4][5][6][7] Most experts agree that regardless of the events occurring in any given hanging or strangulation, death ultimately occurs from cerebral hypoxia and ischemic neuronal death.…”

Section: Discussionmentioning

confidence: 99%

Accidental hanging in an eight-year old child

Ray

Meena

Patra

2016

Int J Contemp Pediatr

View full text Add to dashboard Cite

“…Compression of carotid arteries can lead to ischemic neuronal death, which is also a mechanism leading to permanent brain damage in cases of near-strangulation with survival. 9 Venous obstruction leads to cerebral stagnation, hypoxia, and unconsciousness, which in turn allow muscle tone relaxation, especially in the neck, which usually counters some of the pressure. 1 MT survived without any neurological deficit and one can assume that the time during which her central nervous system was without any oxygen must have been very short.…”

Section: Discussionmentioning

confidence: 99%

A case report on near manual strangulation and glasgow coma scale

Banwari

2015

Afr H. Sci.

View full text Add to dashboard Cite

Background: Glasgow Coma Scale (GCS) is considered as a gold standard in estimating the prognosis of the comatose patient. The management of the patient relies heavily on this scale. The mechanism of injury must also be included in scoring of the GCS. Survival from strangulation is uncommon, and if it occurs, it is often associated with various complications such as neurological consequences. Objective: To highlight a poor correlation with low GCS and ultimate outcome in cases of manual strangulation. Case report: This is a case report of young female adult who was raped and manually strangulated by a colleague during a training course for traditional healers. She was admitted with very low (3/15) Glasgow Coma Scale (GCS) and presumed to have a poor prognosis. She was rigorously ventilated in Intensive Care Unit (ICU), and was discharged from hospital after a week without any complications. The neck and genital injuries are described. This report discusses. Conclusion: A low Glasgow Coma Scale is not a predictive of poor prognosis in cases of manual strangulation.

show abstract

Strangulation: A review of ligature, manual, and postural neck compression injuries

Cited by 100 publications

References 24 publications

Life-threatening versus non-life-threatening manual strangulation: are there appropriate criteria for MR imaging of the neck?

Life-threatening versus non-life-threatening manual strangulation: are there appropriate criteria for MR imaging of the neck?

Accidental hanging in an eight-year old child

A case report on near manual strangulation and glasgow coma scale

Contact Info

Product

Resources

About