Bayona SDR, Villalonga CL

Language: Portugu?s
References: 12
Page: 1020-1027
PDF size: 720.24 Kb.

ABSTRACT

Mechanical asphyxias are those resulting from a mechanical interruption of air penetration to the respiratory tract. They are usually classified according to the nature of the mechanical mean originating them and the way they perform. Hanging is no more that the neck constriction, executed by a lace attached to a fixed point, on which the proper weight of the body applies traction. Death, according to the circumstances of the case, may occur by an asphyxiating, circulatory, inhibitory mechanism or by medullar lesion (a rare case of presentation). The current work reports a case of atypical hanging. The person who died, when abruptly jumped down the balcony of his house with the rope around the neck and the body was left pending, suffered a severe spinomedullar trauma, causing a fracture of the 3rd cervical vertebra, and a medullar contusion causing an instantaneous death due to the medullar shock. To discuss the case, the authors took into account elements of the location where it took place, and the external and internal examination of the body.

REFERENCES

1. Calabuig, G. Medicina Legal y Toxicología. 6 ta ed. Barcelona: Editorial Masson S.A.; 2004. 1416 p.

2. Simonin C. Medicina Legal Judicial [Internet]. Barcelona: Edit JIMS; 1966 [citado 12/02/2018]. 1145 p. Disponible en: http://www.escipol.cl/spa/cultura/biblioteca/pdfs/Medicina%20legal%20judicial%20SI MONIN%20CAMILO.PDF

3. Dorado Fernandez E, Rodes Lloret F. Suicidio por ahorcadura en el Partido Judicial de Cambados (1989-1998). Estudio epidemiológico y comparativo. Cuad Med For. 2000;(19):9-19.

4. Effendi B, Roy D, Cornish B, et al. Fractures of the ring of the axis. A classification based on the analysis of 131 cases. J Bone Joint Surg Br. 1981;63-B(3):319-27. Citado en PubMed; PMID: 7263741.

5. Williams TG. Hangman´s fracture. J Bone Joint Surg. 1975;57-B:82-8. Citado en PubMed; PMID: 7263741.

6. Acevedo González JC, Varón LF, Berbeo Calderón ME, et al. Avances fisiopatológicos para el entendimiento de la lesión medular traumática. Revisión bibliográfica. Rev Col Or Tra [Internet]. 2018 [citado 12/02/2018];22(4). Disponible en: https://www.researchgate.net/profile/Juan_Carlos_Acevedo_Gonzalez/publication/242 635962_Avances_fisiopatologicos_para_el_entendimiento_de_la_lesion_medular_trau matica_ Revision_bibliografica/links/55e2f6bf08ae2fac471fa64a.pdf

7. Duarte Misol DR, Rubiano AM, Moscote-Salazar LR. Choque neurogénico: Fisiopatología , diagnóstico y tratamiento. Rev Traum Amér Lat [Internet]. 2016 [citado 12/02/2018];6(1):27–30. Disponible en: http://www.imbiomed.com.mx/1/1/articulos.php?method=showDetail&id_articulo=107 372&id_seccion=4513&id_ejemplar=10447&id _revista=292

8. Padilla-Zambrano H, Ramos-Villegas YC, Alvis Miranda ER, et al.Revisión Trauma raquimedular. Rev Mex de Neuroci [Internet]. 2017 [citado 12/02/2018];18(5):46-53. Disponible en: http://revmexneuroci.com/wpcontent/ uploads/2017/09/RevMexNeuroci_2017_18(5)-46-53-(R).pdf

9. Moreno García S. Trauma raquimedular. Morfolia [Internet]. 2015 [citado 12/02/2018];7(1):48–54. Disponible en: https://revistas.unal.edu.co/index.php/morfolia/article/view/50590

10. Galeiras Vázquez R, Ferreiro Velasco ME, Mourelo Fariña M, et al. Actualización en lesión medular aguda postraumática. Parte 1. Med Intensiva [Internet]. 2017 [citado 12/02/2018];41(4):237-47. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S021056911630239X

11. Mataliotakis GI, Tsirikos AI. Spinal cord trauma: pathophysiology, classification of spinal cord injury syndromes, treatment principles and controversies. Orthopaedics and Trauma [Internet]. 2016 [citado 12/02/2018];30(5):440–9. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1877132716300860

12. Caballero Chacón S, Nieto S. Fisiopatología de la lesión medular. Revisión de literatura. Vet Méx [Internet]. 2005 [citado 12/02/2018];36(1). Disponible en: http://www.ejournal.unam.mx/rvm/vol36-01/RVM36107.pdf