Manual strangulation as a form of child abuse in an adolescent causing vertebral artery dissection: A case report

Manual strangulation as a form of child abuse is rarely reported, yet it carries significant risks for both medical and mental health outcomes. Here, we present the case of a 16-year-old female who presented to the ED following non-fatal strangulation by her mother and brother. While physical exam demonstrated minor abrasions and bruising, CT angiogram head and neck revealed a vertebral artery dissection. Following this incident, the patient re-presented several times for suicide attempts. This case highlights the importance of considering imaging as part of the ED workup of non-fatal strangulation and ensuring access to mental health resources for victims.