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2020, Number 2

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Rev Méd Electrón 2020; 42 (2)

Double mechanism of strangulation. Apropos of a case

Bayona SDR, Villalonga CL

Language: Spanish
References: 12
Page:
PDF size: 100.14 Kb.


ABSTRACT

Mechanical asphyxias are those resulting from the mechanical obstruction of the air penetration in the airways. They are usually classified according to the nature of the mechanical mean producing it and the way it performs. Strangulation may be defined as neck constriction through the application of an active force not proper to the body weight, acting by means of a knot, hands, forearm or any stiff structure. In ante brachial strangulation, neck constriction is normally performed surrounding the individual with the arm and forearm. When the neck constriction mechanism is lateral, the airways are not affected: carotid arteries constriction produces a brain stroke and loss of consciousness in 10-15 s. The death mechanism in these cases will be cephalic anoxia. If the neck compression is anterior, it occludes the airways; the pressure on thyroidal and cricoid cartilages may produce fractures and death mechanism will be respiratory obstruction. The current work deals with an uncommon strangulation case, where a combined mechanism led the person to the final decease. For the case discussion the authors took into account the elements of the place, and the examination of the exterior and the inside of the corpse.


REFERENCES

  1. Calabuig, G. Medicina Legal y Toxicología[Internet]. 6a ed. Barcelona: Editorial Masson SA; 2004[citado 22/05/18 ]. Disponible en: https://www.marcialpons.es/libros/medicina-legal-y-toxicologia/9788445814154/

  2. Simonin C. Medicina Legal Judicial[Internet]. Barcelona: Edit JIMS; 1966[citado 22/05/18 ]. 211-21. Disponible en: https://www.iberlibro.com/primeraedicion/ MEDICINA-LEGAL-JUDICIAL-Simonin-C-Editorial/21654502339/b

  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[Internet]. 2000[citado 22/05/18 ]; 19: 9-19. Disponible en: http://www.cuadernosdemedicinaforense.es/revistasanteriores/cmf019/revista19ar t01.htm

  4. Duarte Misol DR, Rubiano AM, Moscote-Salazar LR. Choque neurogénico: Fisiopatología, diagnóstico y tratamiento. Rev Traum Amér Lat[Internet].2016[citado 22/05/18];6(1):27–30. Disponible en: https://www.researchgate.net/profile/Andres_Rubiano_Escobar/publication/306018954 _Shock_neurogenico_Fisiopatologia_diagnostico_y_tratamiento/links/5830cc8108ae00 4f74c0f70d/Shock-neurogenico-Fisiopatologia-diagnostico-y-tratamiento.pdf

  5. Padilla-Zambrano H, Ramos-Villegas YC, Alvis-Miranda HR, et al. Revisión Trauma raquimedular Rev Mexicana de Neurociencia[Internet]. 2017 Sep- Oct[citado 22/05/18]; 18(5):46-53. Disponible en: https://www.medigraphic.com/pdfs/revmexneu/rmn-2017/rmn175e.pdf

  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].2015[citado22/05/18];22(4):272–81. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/lil-639004

  7. 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.

  8. Williams TG. Hangman´s fracture. J Bone Joint Surg Br. 1975 Feb;57(1):82-8. Citado en PubMed; PMID: 1117027

  9. Moreno García S. Trauma raquimedular. Morfolia[Internet]. 2015[citado22/05/18];7(1):48–54. Disponible en: https://revistas.unal.edu.co/index.php/morfolia/article/viewFile/50590/51096

  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;;41(4): 237-47. Disponible en: https://www.medintensiva.org/esactualizacion- lesion-medular-aguda-postraumatica--articulo-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[citado22/05/18];30(5):440–9. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1877132716300860

  12. Caballero Chacón S, Nieto Sampedro M. Fisiopatología de la lesión medular. Revisión de literatura. Vet Méx[Internet]. 2005[citado22/05/18];36 (1) Disponible en: https://www.researchgate.net/profile/Manuel_Nieto- Sampedro/publication/26611564_Fisiopatologia_de_la_lesion_medular_Revision_de_lit eratura/links/00b7d51768502f253b000000/Fisiopatologia-de-la-lesion-medular- Revision-de-literatura.pdf




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