253 results match your criteria: "Hanging Injuries and Strangulation"

A retrospective review of the circumstances and characteristics of 72 adult autoerotic neck compression deaths in Australia, between 2000 and 2022.

Forensic Sci Int

December 2024

Melbourne Dental School, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne,  Australia; The Royal Dental Hospital of Melbourne, 720 Swanston Street, Carlton, VIC 3053, Australia.

Autoerotic asphyxial deaths are a rare but recurring phenomenon, the most common modality of which involves neck compression. Autoerotic neck compression can involve any compression to the neck during individual sexual activity performed to heighten arousal. This retrospective study examines 72 such deaths occurring in Australia between 2000 and 2022.

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Hyoid fracture: consensual sex-play or non-consensual nonfatal strangulation: a case report.

Int J Legal Med

October 2024

Department of Forensic Medicine, Monash University, Southbank, Victoria, Australia.

Hyoid fractures are uncommon, but when they occur they are commonly the result of strangulation or hanging. Although there is a lack of available quantitative data, there is increasing evidence to suggest that strangulation is a relatively common feature of consensual sex play. This creates difficulty in clinical forensic medicine given the "rough sex" defence has previously been used successfully in cases of fatal intimate partner strangulation.

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[Strangulation].

Radiologie (Heidelb)

November 2024

Deutsches Krebsforschungszentrum, Abteilung Radiologie, Heidelberg, Deutschland.

Clinical Problem: Detection of manual strangulation, choking and hanging, as well as the intensity of these actions, helps to clarify the course of events, to enforce the state's right to prosecute and ultimately to protect against further attacks. However, this is complicated by the scarcity of externally visible findings.

Standard Procedure To Date: The forensic examination of the head and neck after strangulation is carried out by means of external inspection to detect injuries and congestion above the strangulation level.

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Background: Cervical injuries due to hanging have a high mortality rate. Survivors may present for care with subtle symptoms that belie potentially life-threatening injuries to vital structures of the neck.

Case Report: We report a case of a 39-year-old male admitted to the Intensive Care Unit following attempted self-strangulation.

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Non-Fatal accidental strangulation in a stroke patient.

Leg Med (Tokyo)

November 2024

Institute of Forensic Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, 79104 Freiburg, Germany.

Article Synopsis
  • - Non-fatal strangulation is a critical issue in clinical forensic medicine, where victims show a range of signs and symptoms that can confuse the investigation of neck compression events.
  • - A case study involving a healthy middle-aged woman found on the bathroom floor revealed signs of neck compression and neurological symptoms, prompting a medico-legal investigation due to a history of domestic violence.
  • - The investigation combined clinical, radiological, and forensic findings to rule out homicide and suicide, concluding it was an accidental hanging caused by a stroke, highlighting the need for thorough examination in similar cases.
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8-oxoguanine DNA glycosylase-1 may serve as biomarker of mechanical asphyxia.

Forensic Sci Int

August 2024

Department of Forensic Medicine, School of Basic Medicine, Fudan University, Shanghai, China. Electronic address:

Aim: To identify mtDNA and OGG1 as potential biomarker candidates for mechanical asphyxia.

Method: The human tissues are divided into experimental group (hanging and strangulation) and control groups (hemorrhagic shock, brain injury group, and poisoning group). Detected the expression of OGG1 and integrity of mtDNA in cardiac tissue of each group.

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Unlabelled: The pattern of neck injuries sustained in fatal cases of external compression to the neck is recorded during Post Mortem Examinations (PME), to assist in the interpretation of the circumstances that led to death. In this study, the PMEs performed for 298 cases of hanging and strangulation occurring between 2016 and 2020 in Ireland were retrospectively reviewed for the purpose of recording and collating the external and internal neck injuries observed during each PME, as well as the toxicology results for each decedent. Statistical analysis was performed to investigate potential novel associations between anthropometric variables pertaining to the decedents and the PME findings in cases of hanging and strangulation, serving to add further data to the existing body of research in this area and to assist in the resolution of future cases of hanging or strangulation where there are conflicting findings.

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Every finding during a neck autopsy may be essential for accurately diagnosing and explaining the mechanism of death. In this prospective study in the Department of Forensic Medicine and Toxicology of Jordan University Hospital, 17 out of 95 neck autopsies revealed contusions of the laryngeal mucosa in the vocal or perivocal area. These contusions were found to be associated with various causes of death, including mechanical asphyxia (such as throttling, ligature strangulation, hanging, smothering, choking, plastic bag asphyxia, gagging, and inhalation of blood) and other causes (such as atypical drowning, carbon monoxide poisoning, head injury due to a road traffic accident, burns, electrocution, and brain edema).

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Cable ties in forensic practice.

Med Sci Law

January 2025

Forensic Science South Australia and the School of Biomedicine, The University of Adelaide, Australia.

Cable or zip ties are mass produced inexpensive nylon fasteners, which have a locking mechanism to prevent them from being loosened. Their use in medicolegal cases is infrequent, being involved in situations of neck compression or restraint. The Forensic Science SA Pathology Database (in Adelaide, Australia) and search engines PubMed, Google Scholar and Google were examined for cases where cable ties were documented as either causing death or being potentially lethal, being a contributor to death, or having been used for restraint purposes.

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Introduction: Computed tomography (CT) of the neck is highly sensitive and may effectively rule-out cervical spine, cerebrovascular, and aerodigestive injuries after blunt and penetrating trauma. However, CT may be overutilized in the evaluation of hanging or strangulation injuries. The objective of this study was to determine the diagnostic yield of CT imaging among patients evaluated for hanging or strangulation mechanisms at a Canadian level-1 trauma center.

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Was to conduct the epidemiological analysis of juveniles' deaths by hanging, registered in the Bureau of Forensic Medical Expertise, Moscow for 2017-2021 years. The number of incidents equal 61 was revealed (2.65% of whole hanging incidents for the researched period).

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Article Synopsis
  • Asphyxia-related deaths present challenges in forensic pathology, but recent studies indicate that increased mast cells (MC) in the lungs may aid in diagnosis.
  • The study analyzed lung samples from 164 autopsies, showing a significant rise in peribronchial and perialveolar MCs in asphyxial deaths compared to non-asphyxial cases.
  • Findings suggest that mast cells are crucial in understanding fatal hypoxia, with CD117 as a potential marker for identifying asphyxial deaths, assisting forensic pathologists in differentiating causes of death.
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Asphyxia-related deaths have always been a challenging task in the specialty of forensic pathology. Apart from helpful macroscopical signs (e.g.

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Effects on oral tissues of asphyxiation caused by cervical compression: The pink teeth phenomenon in Kato's studies (1941).

Leg Med (Tokyo)

September 2023

Department of Forensic Dentistry, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan. Electronic address:

Article Synopsis
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Sudden death after fatal percussion of the cervical neurovascular bundle.

Clin Ter

May 2023

Department of Surgical, Medical, and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.

Background: Atypical compression of the neck may be classified as asphyxia in which the external compression on the cervical anatomical structures occurs in a peculiar manner. In such cases, death occurs due to the combination of several pathophysiological phenomena, such as respiratory, vascular, and nervous. When the mechanical action on the neck is violent and rapid, it is more correct to use the word percussion rather than compression.

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