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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Le Blanc-Louvry, Isabelle Papin, Fréderique Vaz, Emmanuelle Proust, Bernard |
| Description | Country affiliation: France Author Affiliation: Le Blanc-Louvry I ( Department of Forensic Medicine, Rouen University Hospital-Charles Nicolle, 1 rue de Germont, 76031, Rouen Cedex, France.) |
| Abstract | After strangulation, cervical arterial injuries (CAI) are uncommon. We report three unusual cases where strangulation induced immediate stroke. CAI were examined using brain CT scan and Doppler ultrasonography in the three cases and then by autopsy in one of the victims. One of the two victims who survived the attempted strangulation had a unilateral carotid dissection, whereas in the other victim, no arterial dissection or thrombosis was observed. As regards the deceased victim, the autopsy confirmed the bilateral dissection showed on CT scan and Doppler ultrasonic examination and revealed that both carotid arteries were dilated up to two times the normal diameter. Microscopic examination showed a major bilateral hemorrhagic dissection of the media with obliterating fibrous endarteritis lesions associated with inflammatory damage. CT scan with arteriography does not demonstrate all the different types of arterial injury, particularly atheromatous embolism, direct compression, or prolonged spasm. Thus, traditional autopsy remains an essential forensic tool after strangulation to show the type of CAI. |
| File Format | HTM / HTML |
| ISSN | 00221198 |
| Issue Number | 6 |
| Volume Number | 58 |
| e-ISSN | 15564029 |
| Journal | Journal of Forensic Sciences |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2013-11-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Stroke Carotid Arteries Ultrasonography, Doppler Humans Tomography, X-ray Computed Neck Injuries Male Discipline Forensic Sciences Asphyxia Hemorrhage Journal Article Case Reports Pathology Crime Victims Carotid Artery, Internal, Dissection Carotid Artery Thrombosis Etiology Tunica Media Adult Female Aged Dilatation, Pathologic Injuries |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Genetics Pathology and Forensic Medicine |
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