Chokehold with 'rear naked choke' and delayed post-hypoxic leukoencephalopathy: a new form of assault in Mexico City.

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-07-19 DOI:10.1007/s00701-025-06601-9

Carlos Castillo-Rangel, Cristofer Zarate-Calderon, Carlos Castillo-Soriano, Karla Aketzalli Hernández-Contreras, Gerardo Marín-Márquez

引用次数: 0

Abstract

In Mexico City, a 49-year-old man underwent strangulation, which led to hypoxic-ischemic encephalopathy (HIE) and subsequently to delayed post-hypoxic leukoencephalopathy (DPHL), a rare demyelinating condition. Following the attack, he exhibited aphasia, dysphagia, and other neuropsychiatric symptoms that progressed to dementia. Imaging and brain biopsy analyses disclosed extensive ischemic damage and reactive gliosis. This case underscores the link between strangulation, acute HIE, and the subsequent development of DPHL, as well as an interpretation of the physiological implications of DPHL due to strangulation.

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“后裸窒息”和迟发性缺氧后脑白质病：墨西哥城的一种新形式的攻击。

在墨西哥城，一名49岁男子接受了勒死，导致缺氧缺血性脑病（HIE），随后发展为迟发性缺氧后脑白质病（DPHL），这是一种罕见的脱髓鞘疾病。发作后，他表现出失语、吞咽困难和其他神经精神症状，并发展为痴呆。成像和脑活检分析显示广泛的缺血性损伤和反应性胶质瘤。本病例强调了绞制、急性HIE和随后发展为DPHL之间的联系，以及对绞制导致的DPHL的生理意义的解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.