Chokehold with 'rear naked choke' and delayed post-hypoxic leukoencephalopathy: a new form of assault in Mexico City.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40681753.
- Also identified by DOI 10.1007/s00701-025-06601-9 and PMC identifier 12274251.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
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.
Medical subject headings
- Leukoencephalopathies
- Hypoxia-Ischemia, Brain