Hanging with rope. Presentation of an atypical
Keywords:
hanging, spinomedullar trauma, medullar shock.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.
Downloads
References
2. Simonin C. Medicina Legal Judicial. Edit JIMS. Barcelona, 1966. pp 211-221.
3. Dorado Fernandez E y Rodes Lloret F. Suicidio por ahorcadura en el Partido Judicial de Cambados (1989-1998). Estudio epidemiológico y comparativo. Cuad Med For 2000; Nº19: 9-19
4. Effendi B, Roy D, Cornish B, Dussault RG, Laurin CA. Fractures of the ring of the axis. A classification based on the analysis of 131 cases. J Bone Joint Surg 1981;63-B:319-27.
5. Williams TG. Hangman´s fracture. J Bone Joint Surg 1975;57-B:82-8.
6. Acevedo González JC, Varón LF, Berbeo Calderón ME, Feo Lee O, Díaz Orduz R. Avances fisiopatológicos para el entendimiento de la lesión medular traumática. Revisión bibliográfica. Rev Col Or Tra.2015;22(4):272–81.
7. Duarte Misol DR, Rubiano AM, Moscote-Salazar LR. Choque neurogénico: Fisiopatología , diagnóstico y tratamiento.Rev Traum Amér Lat.2016;6(1):27–30
8. Revista Mexicana de Neurociencia. Septiembre-Octubre, 2017; 18(5):46-53. Revisión Trauma raquimedular
9. Moreno García S. Trauma raquimedular. Morfolia. 2015;7(1):48–54.
10. Galeiras Vázquez R, Ferreiro Velasco ME, Mourelo Fariña M, Montoto Marqués A, Salvador de la Barrera S. Actualización en lesión medular aguda postraumática. Parte 1. Med Intensiva. 2017.
11. Mataliotakis GI, Tsirikos AI. Spinal cord trauma: pathophysiology, classification of spinal cord injury syndromes, treatment principles and controversies. Orthopaedics and Trauma. 2016;30(5):440–9.
12. Nieto-sampedro M. literatura Pathophysiology of spinal cord injury.A review Artículos de revisión Fisiopatología de la lesión medular . Revisión de literatura. 2017;(March).
Published
How to Cite
Issue
Section
License
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.