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British Journal of Anaesthesia, Vol 84, Issue 4 521-524, Copyright © 2000 by Oxford University Press

ARTICLES

Delayed bilateral internal carotid artery thrombosis following accidental strangulation

SH Kiani and DC Simes
Department of Intensive Care Medicine, Fremantle Hospital, Australia.

A 24-yr-old male presented after a fishing accident in which he was pulled underwater by a rope attached to a crayfish pot. He was winched out of the water with the rope still around his neck, sustaining serious neck injuries that ultimately led to his death. After initial resuscitation, he remained fully conscious for approximately 8 h, after which there was a rapid and sudden deterioration in his level of consciousness. The presentation, investigation, management and subsequent postmortem findings are presented and discussed.
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