Autopsy Findings
FINAL DIAGNOSIS:
I. Ligature strangulation
A. Circumferential ligature withassociated ligature furrow of neck
B. Abrasions and petechial hemorrhages,neck
C. Petechial hemorrhages, conjunctivalsurfaces of eyes and skin of face
II. Craniocerebral injuries
A. Scalp contusion
B. Linear, comminuted fracture ofright side of skull
C. Linear pattern of contusionsof right cerebral hemisphere
D. Subarachnoid and subdural hemorrhage
E. Small contusions, tips of temporallobes
III. Abrasion of right cheek
IV. Abrasion/contusion, posteriorright shoulder
V. Abrasions of left lower backand posterior left lower leg
VI. Abrasion and vascular congestionof vaginal mucosa
VII. Ligature of right wrist
TOXICOLOGIC STUDIES
blood ethanol - none detected
blood drug screen - no drugs detected
CLINICOPATHOLOGIC CORRELATION: Causeof death of this six year old female is asphyxia by strangulation associated with craniocerebral trauma.
John E. Meyer, M.D.
Pathologist
jn/12/27/96
Fun fact: I was OBSESSED...this case when I was younger.