For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
6
views
12
references
 Top references
cited by
2
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      344
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Non-aneurysmal and non-traumatic subarachnoid hemorrhage after attempted suicide by incomplete hanging

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Hanging is a common method of suicide that is being reported more frequently in many countries. Several complications including injuries to the cervical spine, neck vessels, and brain can occur after attempted suicide by hanging. There are only a few reports of brain computed tomography and magnetic resonance imaging of hanging victims. The most common abnormality was diffuse cerebral edema. A subarachnoid hemorrhage is an atypical complication by suicidal hanging. We report a case of a female patient who presented to an emergency department with altered mental status after attempting suicide by incomplete hanging. The patient was diagnosed with a non-aneurysmal and non-traumatic subarachnoid hemorrhage. This case shows that spontaneous subarachnoid hemorrhage can develop due to a sudden elevation of intracranial pressure, as occurs with hanging.

          Related collections

          Most cited references12

          • Record: found
          • Abstract: found
          • Article: not found

          Subarachnoid hemorrhage without detectable aneurysm. A review of the causes.

          E F Wijdicks, Andries J van Tonder, G Rinkel (1993)
          In 15% to 20% of patients with a spontaneous subarachnoid hemorrhage, no aneurysm is found on the first angiogram. This review emphasizes that this group of patients is in fact heterogeneous and describes the clinical features, pattern of hemorrhage on early computed tomographic (CT) scan, prognosis, and proposed management in the several and distinct subsets of these patients. Patients in whom no aneurysm is revealed on the initial angiogram can be subdivided mainly according to the pattern of hemorrhage on an early CT scan. In two thirds of these patients the CT scan shows a perimesencephalic pattern of hemorrhage (ie, blood confined to the cisterns around the midbrain); these patients invariably have a good prognosis, which obviates the need for a second angiogram. Patients with diffuse or anteriorly located blood on CT scan are at risk of rebleeding. In most of these patients the source of hemorrhage is an occult aneurysm, but intracranial artery dissections, dural arteriovenous malformations, mycotic aneurysms, trauma, bleeding disorders, substance abuse, or a cervical origin of the hemorrhage should also be considered. Patients with no blood revealed on an early CT scan but with xanthochromic cerebrospinal fluid are extremely rare. These patients deserve a second reading of the scan for blood in the prepontine cistern, which can be the only site of hemorrhage in perimesencephalic hemorrhage. The prognosis and management of patients in whom no aneurysm is found on the initial angiogram depends on the pattern of hemorrhage on the initial CT scan. Patients should no longer be designated with the umbrella term "angiogram-negative subarachnoid hemorrhage."
          Article 0 comments Cited 22 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Strangulation: a review of ligature, manual, and postural neck compression injuries.

            Kenneth V Iserson (1984)
            Article 0 comments Cited 15 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Near-hanging injuries: a 10-year experience.

              Matthew Martin, Carlos VR Brown, Burapat Sangthong … (2006)
              To review the injury patterns and analyse outcomes in patients who present after near-hanging. This is a trauma registry study that included all patients who were admitted to an academic Level I trauma centre with the diagnosis of attempted suicide by hanging between January 1993 and December 2003. All patients who were dead on arrival or in cardiopulmonary arrest were excluded. Data regarding demographics, injuries, and outcomes were examined. Independent risk factors for poor outcome were identified. During the 10-year study period, 63 patients were admitted after near-hanging. A total of 12 patients (19%) had 17 injuries. Cervical spine fractures occurred in nearly 5% of cases. Four factors were found to be significantly associated with poor outcome: systolic blood pressure 15. However, logistic regression analysis found only anoxia on CT scan to be independently associated with poor outcome (p < 0.01). Injuries commonly occurred after near-hanging. Liberal screening using CT scans is warranted. The prognosis is favorable, even with patients who arrive with a GCS < or =8. Overall survival was 90% and only 3.5% were discharged with severe or permanent disability.
              Article 0 comments Cited 15 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Exp Emerg Med
                Journal ID (iso-abbrev): Clin Exp Emerg Med
                Journal ID (publisher-id): CEEM
                Title: Clinical and Experimental Emergency Medicine
                Publisher: The Korean Society of Emergency Medicine
                ISSN (Electronic): 2383-4625
                Publication date Collection: March 2017
                Publication date (Electronic): 30 March 2017
                Volume: 4
                Issue: 1
                Pages: 56-59
                Affiliations
                Department of Emergency Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
                Author notes
                Correspondence to: Soo Hoon Lee  Department of Emergency Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, 79 Gangnam-ro, Jinju 52727, Korea  E-mail: ssoon0702@ 123456naver.com
                Article
                Publisher ID: ceem-15-115
                DOI: 10.15441/ceem.15.115
                PMC ID: 5385506
                PubMed ID: 28435903
                SO-VID: c09b08cb-3164-46d6-8483-684c169e5d5a
                Copyright © Copyright © 2017 The Korean Society of Emergency Medicine
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/).

                History
                Date received : 26 November 2016
                Date revision received : 30 November 2016
                Date accepted : 28 December 2016
                Categories
                Subject: Case Report

                Keywords: hanging,strangulation,subarachnoid hemorrhage,suicide
                Data availability:
                Keywords: hanging, strangulation, subarachnoid hemorrhage, suicide

                Comments

                Comment on this article

                scite_

                Similar content344

                See all similar

                Cited by2

                See all cited by

                Most referenced authors102

                See all reference authors