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Dorn Spinal Therapy

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Delayed Death after Strangulation

Delayed death after strangulation is a rare event. While Maxeiner (1987) could summarize the findings in seven cases, other authors published only single cases. There are no common findings as each case is characterized by an individual history regarding age, biomechanics of strangulation, duration of strangulation, survival time, etc. Two cases in Maxeiner (1987) are "brain death" after resuscitation; four of his cases are characterized by regionally elective parenchymal necrosis. The two cases described by Hori et al. (1991) and two cases described by Lumb et al. (2001) at autopsy revealed hemorrhages in the central cerebrum, i.e., the lentiform nuclei and caudate as well as in the internal capsule. In contrast Pollak et al. (1987) could demonstrate an infarct in the fronto-basal region, obviously as a result of an embolic occlusion of an arterial vessel resulting from a mechanical lesion of the large arterial vessels of the neck (Hausmann and Betz 1997). Further detailed microscopic features are summed up below in Sect. 14.3.

Intervertebral Disks

(a) and C4/C5 (b) associated with an epidural hemorrhage in both Fig. 14.1a, b. Cervical spine in hanging. a Epidural hemorrhages cases and hemorrhages in the intervertebral discs C4/C5 and C5/C6; b total disruption of the intervertebral disc C3/C4 and C6/C7

(a) and C4/C5 (b) associated with an epidural hemorrhage in both Fig. 14.1a, b. Cervical spine in hanging. a Epidural hemorrhages cases and hemorrhages in the intervertebral discs C4/C5 and C5/C6; b total disruption of the intervertebral disc C3/C4 and C6/C7

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