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Related Experiment Videos

Delayed encephalopathy after strangling.

E C Dooling, E P Richardson

    Archives of Neurology
    |March 11, 1976
    PubMed
    Summary
    This summary is machine-generated.

    A child developed severe neurological symptoms including involuntary movements and opisthotonos one week after strangulation. Neuropathology revealed bilateral brain lesions, suggesting a potential metabolic disorder like lactic acidosis.

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    Area of Science:

    • Neurology
    • Pathology
    • Toxicology

    Background:

    • Hypoxic-ischemic insult can lead to delayed-onset neurological disorders.
    • Strangulation is a form of hypoxic-ischemic insult with potential for delayed neurological sequelae.
    • Previous cases demonstrate varied clinical presentations following strangulation.

    Observation:

    • An 11-year-old boy presented with involuntary movements, opisthotonos, and autonomic dysfunction one week post-strangulation.
    • The patient remained alert with normal electroencephalogram (EEG) initially.
    • Neuropathological examination revealed bilateral cavitating lesions in the basal ganglia (caudate nucleus, putamen, globus pallidus).

    Findings:

    • Delayed-onset, progressive neurological disorder following strangulation.

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  • Specific neuropathological findings of bilateral basal ganglia lesions with white matter sparing.
  • Normal EEG and preserved mental state in the initial phase despite severe insult.
  • Implications:

    • The clinical course and preceding state do not predict the occurrence of delayed neurological disorders.
    • Similar pathological findings suggest a common underlying metabolic derangement, possibly lactic acidosis.
    • Further investigation into biochemical defects is warranted for these cases.