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Delayed death after attempted suicide by hanging

R Hausmann1, P Betz

  • 1Institut für Forensische Medizin, Universität Erlangen-Nürnberg, Germany.

International Journal of Legal Medicine
|January 1, 1997
PubMed
Summary
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Delayed death from hanging can occur days later due to carotid artery thrombosis and cerebral infarction, even without initial neurological signs. This case highlights a rare complication of attempted suicide by strangulation.

Area of Science:

  • Forensic Pathology
  • Neurology
  • Vascular Surgery

Background:

  • Hanging typically causes immediate death due to cerebral ischemia from neck compression.
  • Cerebral infarction and respiratory obstruction are common mechanisms of death in strangulation.
  • Delayed mortality following attempted suicide by hanging is infrequently documented.

Observation:

  • A case of delayed death 4 days after an attempted suicide by hanging is presented.
  • The individual remained conscious with no apparent neurological abnormalities post-strangulation.
  • Autopsy revealed cerebral infarction secondary to traumatic thrombosis of the carotid arteries.

Findings:

  • The cause of death was attributed to cerebral infarction.
  • This infarction resulted from carotid artery thrombosis, a rare complication of hanging.

Related Experiment Videos

  • The carotid arteries were subtotally ruptured, leading to thrombus formation.

    • Implications:

    • This case underscores the potential for delayed, non-immediate death following attempted hanging.
    • It highlights traumatic carotid artery injury as a critical, albeit uncommon, cause of delayed cerebral infarction.
    • Forensic investigations into hanging deaths should consider vascular complications beyond immediate strangulation effects.