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New Delhi, India

Rayamane A.P.,Mysore Medical College and Research Institute | Pradeepkumar M.V.,RajaRajeswari Medical College and Hospital | Patra A.,JIPMER | Thejaswi H.T.,PGIMER and RML Hospital | And 2 more authors.
Journal of Indian Academy of Forensic Medicine | Year: 2015

One of the important finding in strangulation death is injury to laryngeal appendages. A cross sectional study was done to know the incidence of injury to laryngeal cartilages in strangulation deaths autopsied at our department from year 2010 to 2012. A total of 31 cases studied in which ligature strangulation accounted for 18 cases (12 male, 06 female) and manual strangulation 13 cases (7 male and 6 female). Fractures of the hyoid and/or thyroid cartilage were present in 23 cases. Out of 23 cases, hyoid bone fractures noted in 9 cases (23%) and thyroid cartilage fractures found in 17 cases (54%). In ligature strangulation cases hyoid bone fracture present in 5 cases (28%) and thyroid cartilage fracture present in 9 cases (50%). In manual strangulation cases hyoid bone fracture noted in 4 cases (31%) and thyroid cartilage fracture were seen in 8 cases (62%). Cricoid cartilage fracture was not found in our study. Among external features sub-conjunctival hemorrhage was seen in 19 cases and nasal bleeding in 10 cases. Hemorrhage in strap muscles seen in all cases. Thyroid cartilage fracture is more common than hyoid bone fracture in both Ligature and Manual strangulation deaths. Source


Mudgal S.,Maulana Azad Medical College | Jiloha R.C.,Maulana Azad Medical College | Kandpal M.,PGIMER and RML Hospital | Das A.,Maulana Azad Medical College
Indian Journal of Psychiatry | Year: 2014

Kleine-Levin syndrome (KLS) alias sleeping beauty syndrome, is a rare sleep disorder. Clinically presenting as episodes of hypersomnolence, behavioral and cognitive disturbances, hyperphagia and hypersexuality. KLS may have an idiopathic onset or may be precipitated by neurological event or infection. Until date, no definite underlying cause is established and neither there are any definitive management guidelines. It remains a diagnosis of exclusion after other psychiatric and neurological causes have been ruled out. Coloring of presentation with behavioral and mood elements makes it important for a psychiatrist to be well-informed about the condition to avoid the erroneous diagnosis. KLS is a devastating illness, which robs the patient of time, experiences, and relationships. An early diagnosis and effective management can help patient escape from the morbidity caused by this disorder. Armodafinil and oxcarbamazepine have found to be effective in two of the case. The emphasis of this report is to add to the existing clinical knowledge of neurologists, psychiatrists and physicians. In the future, research is needed on genetic etiology and management of this disorder. Source

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