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Fatal and non-fatal bilateral delayed carotid artery dissection after manual strangulation
1Department of Forensic Medicine and Pathology, Rouen University Hospital-Charles Nicolle, 1 rue de Germont, 76031 Rouen Cedex, France. franck.clarot@chu.rouen.fr
Post-traumatic carotid artery dissection, though rare, can present with delayed symptoms after strangulation. This study highlights diagnostic challenges and forensic implications of this underrecognized condition.
Area of Science:
- Medical Diagnostics
- Forensic Pathology
- Vascular Surgery
Background:
- Carotid artery (CA) dissection and thrombosis are relevant in medical and forensic contexts.
- Post-traumatic carotid artery dissection is infrequently recognized, often due to delayed symptom onset.
Observation:
- Presents two cases of carotid artery dissection following strangulation.
- Symptoms manifested with a delay after the initial injury.
Findings:
- Delayed presentation of carotid artery dissection following strangulation is possible.
- Diagnostic difficulties arise in identifying dissection when symptoms are not immediate.
Implications:
- Highlights the importance of considering carotid artery dissection in strangulation cases, even with delayed symptoms.
- Discusses challenges in medical diagnosis and forensic evaluation of such injuries.
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