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Case Report

Long Drop Suicidal Hanging with Autopsy Finding of Cervical Spine Fracture: A Rare Case Report

Arijit Dey, Senior Resident, Department of Forensic Medicine & Toxicology, All India Institute of Medical Sciences, New Delhi, Delhi 110029, India. , Sharma Neha* , Dey Arijit* , Tyagi Swati* , Pandit N. Jay* , Prasad Kulbhushan** , Gupta K. Sudhir***

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Journal of Forensic Chemistry and Toxicology 4(2):p 105-109, Jul-Dec 2018. | DOI: http://dx.doi.org/10.21088/jfct.2454.9363.4218.6

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Abstract

Cervical fracture is a rare presentation in suicidal hanging but a common finding in judicial hanging where the person is dropped from a calculated height, resulting in fracture dislocation at the level of 2nd-3rd or 3rd-4th cervical vertebrae. In case of long drop hanging cervical fracture with or without dislocation is commonly found; possibly due toa greater tractional force due to longer height of suspension. We describe acase of an average built male weighing 72 kg who hanged himself by jumping off a roof top, with a drop length of 4.14m. On autopsy in addition to common findings of a hanging case, complete transection ofspinal cord and fracture dislocation of cervical vertebrae C2-C3 were found along with hematoma. In this case of long drop hanging, there was fracture of cervical spine with ligature knot being placed at sub-occipital position which is a rare autopsy finding.

 

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DOI: http://dx.doi.org/10.21088/jfct.2454.9363.4218.6

Keywords

Hangman’s Fracture; Long Drop; Sub-Occipital Knot; Suicidal Hanging. 

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