Traumatic Rupture of Deep Neck Structures in Hanging

Advenier, Anne‐Sophie; Grandmaison, Geoffroy Lorin de la

doi:10.1097/paf.0000000000000114

Cited by 7 publications

(2 citation statements)

References 18 publications

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“…Kada govorimo o postotku tjelesne mase kojim tijelo zateže povez (ligaturu) pri različitim položajima, vrijedi, po Khokhlovljevu, kao što je navedeno u tablici 1 15 34 . Oštećenje intime karotidnih arterija, najčešće u području sinusa, ponekad se može prikazati na opreznoj disekciji (Amussatov znak -poprečne laceracije na intimi karotida) 27,[35][36][37][38] . Kod vješanja koja su izvršena tako da između točke na kojoj je fiksirani dio vrpce/užeta i točke na kojoj je čvor omče (i tijelo) postoji značajna visinska razlika, vratne strukture mogu biti oštećene u znatnoj mjeri 14 .…”

Section: Vrsta Smrtiunclassified

An overview of the mechanical asphyxia with the main emphasis on hanging

Šoša

Radaković

2019

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Sažetak. U preglednom članku izdvojili smo mnoge studije koje su u novije vrijeme objavljene na temu samoubilačkih vješanja. Specijalisti sudske medicine, forenzični patolozi i mrtvozornici dobro su upoznati s takvim smrtima. Specijalisti sudske medicine i forenzični patolozi konstantno moraju obnavljati znanja na kojima temelje mišljenja o načinu smrti i to djelomično stoga što javnost ima ograničena znanja o smrtima vješanjem i općenito o smrtima povezanima s mehaničkim stezanjem vrata. U preglednom članku nismo, doduše, obradili sve smrti povezane s mehaničkim stezanjem vrata, već samo one koje po načinu najviše sliče činu vješanja. Moglo bi se, stoga, reći kako su smrti vješanjem bile okosnica ovog rada. Autori su pregledali literaturu prema kriterijima koji se koriste pri određivanju načina smrti u zapisnicima o obdukciji Zavoda za sudsku medicinu i kriminalistiku Medicinskog fakulteta u Rijeci (od 1966. do početka 2017. godine).

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Section: Vrsta Smrtiunclassified

An overview of the mechanical asphyxia with the main emphasis on hanging

Šoša

Radaković

2019

Med flum

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“…Microscopy of the thyroid and salivary glands usually reveals focal interstitial hemorrhages, and the lymph gland shows congestion, supporting the antemortem nature of neck compression ( 12 ). However, only few studies have focused on the relationship between the ligature compression and neck tissue, and very few markers have been investigated as an evidence for neck compression ( 13 – 15 ).…”

Section: Introductionmentioning

confidence: 99%

Forensic Application of Epidermal Ubiquitin Expression to Determination of Wound Vitality in Human Compressed Neck Skin

et al. 2022

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Ubiquitin is a member of the heat shock protein family and is rapidly induced by various types of stimuli, including ischemic and mechanical stress. However, its significance in determining wound vitality of neck compression skin in forensic pathology remains unclear. We immunohistochemically examined the expression of ubiquitin in the neck skin samples to understand its forensic applicability in determining wound vitality. Skin samples were obtained from 53 cases of neck compression (hanging, 42 cases; strangulation, 11 cases) during forensic autopsies. Intact skin from the same individual was used as the control. Ubiquitin expression was detected in 73.9% of keratinocytes in intact skin samples, but only in 21.2% of keratinocytes in the compression regions, with statistical differences between the control and compression groups. This depletion in the case of neck compression may be caused by the impaired conversion of conjugated to free ubiquitin and failure of de novo ubiquitin synthesis. From a forensic pathological perspective, immunohistochemical examination of ubiquitin expression in the skin of the neck can be regarded as a valuable marker for diagnosing traces of antemortem compression.

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Forensic application of epidermal AQP3 expression to determination of wound vitality in human compressed neck skin

et al. 2018

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In forensic practices, it is often difficult to determine wound vitality in compression marks of the neck with naked eyes. AQP1 and AQP3 are the major water channels associated with skin. Thus, we immunohistochemically examined the expression of AQP1 and AQP3 in neck skin samples to discuss their forensic applicability to determination of the wound vitality. Skin samples were obtained from 56 neck compression cases (hanging, 35 cases; strangulation, 21 cases). The intact skin from the same individual was taken as a control. Although AQP1 was immnunostained in dermal capillaries in both the neck compression marks and intact skin samples, there was no significant difference in the magnitude of AQP1 expression between both groups. On the contrary, AQP3-positive signals could be faintly detected in uninjured skin samples, and the positive signals seemed more intense in the keratinocytes in compression regions. Morphometrical analyses revealed that the ratio of AQP3-expressed keratinocytes was significantly enhanced in neck compression regions, compared with control groups. From the viewpoints of forensic pathology, immunohistochemical detection of AQP3 in the neck skin can be considered a valuable marker to diagnose the trace of antemortem compression.

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Traumatic Rupture of Deep Neck Structures in Hanging

Cited by 7 publications

References 18 publications

An overview of the mechanical asphyxia with the main emphasis on hanging

An overview of the mechanical asphyxia with the main emphasis on hanging

Forensic Application of Epidermal Ubiquitin Expression to Determination of Wound Vitality in Human Compressed Neck Skin

Forensic application of epidermal AQP3 expression to determination of wound vitality in human compressed neck skin

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