Abstract
Glasgow Coma Scale (GCS) is considered as a gold standard in estimating the prognosis of the comatose patient. The management of the patient relies heavily on this scale. The mechanism of injury must also be included in scoring of the GCS. Survival from strangulation is uncommon, and if it occurs, it is often associated with various complications such as neurological consequences. To highlight a poor correlation with low GCS and ultimate outcome in cases of manual strangulation. This is a case report of young female adult who was raped and manually strangulated by a colleague during a training course for traditional healers. She was admitted with very low (3/15) Glasgow Coma Scale (GCS) and presumed to have a poor prognosis. She was rigorously ventilated in Intensive Care Unit (ICU), and was discharged from hospital after a week without any complications. The neck and genital injuries are described. This report discusses. A low Glasgow Coma Scale is not a predictive of poor prognosis in cases of manual strangulation.
Highlights
Strangulation injuries account for approximately 2.5% of traumatic deaths worldwide.[1]
Ten percent of violent deaths in the U.S each year are due to strangulation i.e squeezing the neck
Strangulation or throttling is usually done with the hands, but notable variants include using the forearms, as when police officers used carotid restraint, and standing or kneeling on the victim's throat.[3]
Summary
Strangulation injuries account for approximately 2.5% of traumatic deaths worldwide.[1] The hyoid is a thin, u-shaped bone in the neck just above the Adam’s apple, which is very supple, pliable and bendable when a person is young, and is hard to fracture. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either (original scale) or (the more widely used modified or revised scale).[4] This case report highlights the fact that there is a poor correlation with low GCS and ultimate outcome. Case history MT, a 23 years-old thinly built female was allegedly sexually assaulted on 8th November 2007 while attending traditional healers’ course in a group She was found in a forest by her colleagues, partially naked, and in an unconscious state and gasping. The woman has survived and discharges after a week from ICU without any neurological deficit
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