Abstract
Until recently, the contemporary understanding of the pathophysiology of hanging and strangulation was still largely based on old European studies from the end of the nineteenth century and beginning of the twentieth century. A summary of this historical context is presented. In 2006, the Working Group on Human Asphyxia was founded and started a systematic review of filmed lethal human hangings. The scope of the group was extended in 2009 to include nonlethal filmed human hangings and other types of filmed human asphyxia. The work of this group led to new advances in the understanding of hanging and strangulation. The detailed description of the agonal sequence in hanging and strangulation is presented, followed by a discussion of the consequences of this agonal sequence on the findings at the external examination. The time to die by hanging and strangulation is reviewed as are the mechanisms of death. This chapter provides a comprehensive review of the modern understanding of the pathophysiology of hanging and strangulation.
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References
Sauvageau A, Boghossian E. Classification of asphyxia: the need for standardization. J Forensic Sci. 2010;55(5):1259–67.
Clément R, Redpath M, Sauvageau A. Mechanism of death in hanging: a historical review of the evolution of pathophysiological hypotheses. J Forensic Sci. 2010;55(5):1268–71.
Tardieu A. Étude médico-légale sur la pendaison. Ann Hyg Pub Med Lég. 1870;33:78–128.
Hoffman E. Nouveaux elements en medicine légale. Paris: JB Baillière; 1881.
Langreuter J. Über die mechanischen verhältnisse des strangulations-todes. Vjschr Ger Med. 1886;XLV:295–309.
Dixon JC. Forensic medicine and toxicology. London: Griffin & Co editors; 1893.
Boghossian E, Clement R, Redpath M, Sauvageau A. Respiratory, circulatory and neurological responses to asphyxia by hanging: a review of animal models. J Forensic Sci. 2010;55(5):1272–7.
Guy W, Ferrier D. Principles of forensic medicine. 7th ed. London: William & R; 1895.
Brouardel P. La pendaison, la strangulation, la suffocation, la submersion. Paris: J.B. Bailliere et fils; 1897.
Lacassagne A. Précis de médecine légale. Paris: Masson; 1906.
Derome W. Précis de médicine légale. Montreal: Compagnie d’imprimerie des Marchands Ltée; 1920.
Balthazard V. Précis de médecine légale. Paris: J-B Baillière; 1921.
Smith S. A text-book for students and practioners. Forensic medicine. London: J & A. Churchill Ltd; 1925.
Webster R. Legal medicine and toxicology. Philadelphia/London: WB Saunders; 1930.
Risse M, Weiler G. Agonale und supravite bewegungsabläufe beim erhängen. Beitr Gerichtl Med. 1989;47:243–6.
Yamasaki S, Kobayashi AK, Nishi K. Evaluation of suicide by hanging from the video recording. Forensic Sci Med Pathol. 2007;3(1):45–51.
Sauvageau A, Laharpe R, King D, Dowling G, Andrews S, Kelly S, Working Group on Human Asphyxia, et al. Agonal sequences in 14 filmed hangings with comments on the role of the type of suspension, ischemic habituation, and ethanol intoxication on the timing of agonal responses. Am J Forensic Med Pathol. 2011;32(2):104–7.
Sauvageau A, Kelly S, Ambrosi C. A filmed hanging without decerebrate and decorticate rigidity: a case report and pathophysiological considerations. Am J Forensic Med Pathol. 2012;33(2):176–8.
Sauvageau A, Godin A, Desnoyers S, Kremer C. Six-year retrospective study of suicidal hangings: determination of the pattern of limb lesions induced by body responses to asphyxia by hanging. J Forensic Sci. 2009;54(5):1089–92.
Sauvageau A, Ambrosi C, Kelly S. Autoerotic nonlethal filmed hangings: a case series and comments on the estimation of the time to irreversibility in hanging. Am J Forensic Med Pathol. 2012;33(2):159–62.
Vander Krol L, Wolfe R. The emergency department management of near-hanging victims. J Emerg Med. 1994;12:285–92.
Howell MA, Guly HR. Near hanging presenting to an accident and emergency department. J Accid Emerg Med. 1996;13:135–6.
Matsuyama T, Okychi K, Seki T, Murao Y. Prognostic factors in hanging injuries. Am J Emerg Med. 2004;22:207–10.
Hanna SJ. A study of 13 cases of near hanging presenting to an accident and emergency department. Injury. 2004;35:253–6.
Karasu A, Kuşçu DY, Bakaç G, Ofluoğlu E, Akkoyun N, Yalçiner B, et al. Carotid endarterectomy with regional anesthesia: an audit of 71 cases. Turk Neurosurg. 2009;19:21–8.
Aleksic M, Heckenkamp J, Reichert V, Gawenda M, Brunkwall J. S-100B release during carotid endarterectomy under local anesthesia. Ann Vasc Surg. 2007;21:571–5.
Bland JE, Lazar ML. Carotid endarterectomy without shunt. Neurosurgery. 1981;8:153–7.
Van Alphen HA, Polman CH. The value of continuous intra-operative EEG monitoring Turing carotid endarterectomy. Acta Neurochir (Wien). 1988;91:95–9.
Mitchell RN, Cotran RS. Hemodynamic disorders, thrombosis, and shock. In: Cotran RS, Kumar V, Collins T, et al., editors. Robbins basic pathology of disease. 6th ed. Philadelphia: WB Saunders Company; 1999. p. 113–38.
Sauvageau A, LaHarpe R, Geberth VJ. Agonal sequences in eight filmed hangings: analysis of respiratory and movement responses to asphyxia by hanging. J Forensic Sci. 2010;55(5):1278–81.
Khokhlov VD. Calculation of tension exerted on a ligature in incomplete hanging. Forensic Sci Int. 2001;123:172–7.
Geberth VJ. Sex-related homicide and death Investigation: practical and clinical perspectives. 2nd ed. Boca Raton: CRC Press; 2010. p. 139–40.
Sauvageau A, Geberth VJ. Autoerotic deaths: practical forensic and investigative perspectives. Boca Raton: CRC Press; 2013.
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Sauvageau, A. (2014). Death by Hanging. In: Rutty, G. (eds) Essentials of Autopsy Practice. Springer, London. https://doi.org/10.1007/978-1-4471-5270-5_2
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