Can MRI of the neck compete with clinical findings in assessing danger to life for survivors of manual strangulation? A statistical analysis

Legal Medicine
Andreas ChristeMichael J Thali

Abstract

The aim of the study was to examine the clinical forensic findings of strangulation according to their ability to differentiate between life-threatening and non-life-threatening strangulation, compare clinical and MRI findings of the neck and discuss a simple score for life-threatening strangulation (SLS). Forensic pathologists classified a continuous sample of 56 survivors of strangulation into life-threatening cases by clinical history and examination alone. Subjective, objective and radiological signs were evaluated for discriminating the two groups. In 27% of the cases life was in danger. The most significant signs of danger to life were congestive petechial hemorrhage in the face (eyes); hematoma of the neck and loss of consciousness. The radiological score could compete with the clinical scores. Clinical forensic findings differ significantly in non-life-threatening and life-threatening manual strangulation. Thanks to MRI a rather objective test for life-threatening strangulation can be added to a SLS.

References

Jun 2, 2001·Seminars in Musculoskeletal Radiology·Anthony R. LupetinVijay M. Rao
Oct 11, 2003·Forensic Science International : Synergy·H Maxeiner, Britta Bockholdt
Sep 6, 2005·Forensic Science International : Synergy·T PlattnerU Zollinger
Sep 6, 2005·Journal of Magnetic Resonance Imaging : JMRI·Kathrin YenMartin Sonnenschein
Jan 9, 2007·International Journal of Legal Medicine·Kathrin YenRichard Dirnhofer

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Citations

Jun 24, 2015·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Stephan A Bolliger, Michael J Thali
Jan 2, 2016·Trauma, Violence & Abuse·Adam J PritchardChelsea Nordham
Feb 22, 2018·Journal of Forensic Sciences·Lauren A DeckerKurt B Nolte
Feb 6, 2019·Radiology·Elizabeth GeorgeBharti Khurana
Jun 7, 2017·Forensic Sciences Research·Silke GrabherrFabrice Dedouit
Feb 24, 2019·European Radiology·Jakob HeimerSabine Franckenberg
Jan 13, 2018·The British Journal of Radiology·Katja SchulzePatricia Mildred Flach
Mar 25, 2020·The American Journal of Forensic Medicine and Pathology·Eva Deininger-CzermakDominic Gascho
Jan 9, 2015·Clinical Microbiology Reviews·Romney M Humphries, Andrea J Linscott
Feb 21, 2019·Emergency Medicine Australasia : EMA·Julia De Boos
May 7, 2019·Forensic Sciences Research·Christine BruguierSilke Grabherr

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