Literature DB >> 20630784

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

Andreas Christe1, Lars Oesterhelweg, Steffen Ross, Danny Spendlove, Stephan Bolliger, Peter Vock, Michael J Thali.   

Abstract

OBJECTIVE: 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).
MATERIALS AND METHODS: 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.
RESULTS: 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.
CONCLUSION: 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. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

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Year:  2010        PMID: 20630784     DOI: 10.1016/j.legalmed.2010.05.004

Source DB:  PubMed          Journal:  Leg Med (Tokyo)        ISSN: 1344-6223            Impact factor:   1.376


  6 in total

Review 1.  Imaging and virtual autopsy: looking back and forward.

Authors:  Stephan A Bolliger; Michael J Thali
Journal:  Philos Trans R Soc Lond B Biol Sci       Date:  2015-08-05       Impact factor: 6.237

2.  Adult post-mortem imaging in traumatic and cardiorespiratory death and its relation to clinical radiological imaging.

Authors:  B Morgan; D Adlam; C Robinson; M Pakkal; G N Rutty
Journal:  Br J Radiol       Date:  2014-04       Impact factor: 3.039

3.  The gas bubble sign-a reliable indicator of laryngeal fractures in hanging on post-mortem CT.

Authors:  Katja Schulze; Lars Christian Ebert; Thomas Daniel Ruder; Barbara Fliss; Sebastian Alexander Poschmann; Dominic Gascho; Michael Josef Thali; Patricia Mildred Flach
Journal:  Br J Radiol       Date:  2018-02-01       Impact factor: 3.039

4.  Value of 3T craniocervical magnetic resonance imaging following nonfatal strangulation.

Authors:  Jakob Heimer; Carlo Tappero; Dominic Gascho; Patricia Flach; Thomas D Ruder; Michael J Thali; Sabine Franckenberg
Journal:  Eur Radiol       Date:  2019-02-22       Impact factor: 5.315

Review 5.  Modern post-mortem imaging: an update on recent developments.

Authors:  Silke Grabherr; Coraline Egger; Raquel Vilarino; Lorenzo Campana; Melissa Jotterand; Fabrice Dedouit
Journal:  Forensic Sci Res       Date:  2017-06-07

6.  Neck-MRI experience for investigation of survived strangulation victims.

Authors:  Christine Bruguier; Pia Genet; Jean-Baptiste Zerlauth; Fabrice Dédouit; Jochen Grimm; Reto Meuli; Tony Fracasso; Silke Grabherr
Journal:  Forensic Sci Res       Date:  2019-05-07
  6 in total

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