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American Journal of Forensic Medicine & Pathology:
doi: 10.1097/PAF.0b013e318219c832
Case Reports

Three Different Mechanisms of Death: An Unusual Form of a Child Murder by Asphyxia

Miziara, Ivan Dieb MD, PhD; Bertaccini, Flavio MD

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Abstract

We report a very unusual case of murder of a 4-year-old male white child who died of asphyxiation. Asphyxia occurred due to 3 factors: manual strangulation, hyperextension of the neck, and atlantoaxial subluxation. The offenses were carried out by a single assailant (the stepfather of the child) who strangled the child with his right hand, using his left hand to pull the hair of the child, forcing the head back and causing hyperextension of the neck, thereby dislocating the first and second cervical vertebrae.

© 2011 Lippincott Williams & Wilkins, Inc.

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