Chokehold with ‘rear naked choke’ and delayed post-hypoxic leukoencephalopathy: a new form of assault in Mexico City - Summary - MDSpire

Chokehold with ‘rear naked choke’ and delayed post-hypoxic leukoencephalopathy: a new form of assault in Mexico City

  • By

  • Carlos Castillo-Rangel

  • Cristofer Zarate-Calderon

  • Carlos Castillo-Soriano

  • Karla Aketzalli Hernández-Contreras

  • Gerardo Marín-Márquez

  • July 19, 2025

  • 0 min

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Objective:

To report a case of delayed post-hypoxic leukoencephalopathy (DPHL) following strangulation using the rear naked choke technique, highlighting its clinical significance.

Key Findings:
  • Initial symptoms indicated acute hypoxic-ischemic encephalopathy (HIE), necessitating immediate clinical attention.
  • Delayed neuropsychiatric symptoms weeks after the event suggested DPHL, underscoring the need for ongoing monitoring.
  • MRI and biopsy confirmed the diagnosis of DPHL due to prior strangulation, linking clinical presentation to imaging findings.
Interpretation:

The case illustrates the potential for DPHL to develop following strangulation, emphasizing the need for awareness of delayed neurological consequences.

Limitations:
  • The rarity of DPHL makes it difficult to establish a direct causal relationship, which complicates clinical understanding.
  • Limited follow-up data on long-term outcomes post-treatment restricts the ability to draw comprehensive conclusions.
Conclusion:

This case highlights the serious neurological risks associated with strangulation techniques like the rear naked choke, leading to delayed post-hypoxic leukoencephalopathy, and calls for increased awareness and monitoring in clinical practice.

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