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

Share

  • 1

    Hypoxic-ischemic encephalopathy (HIE) leads to neural cell death due to insufficient oxygen and blood flow, presenting with neurological signs within 24 hours.

  • 2

    Delayed post-hypoxic leukoencephalopathy (DPHL) can occur after various hypoxic events, characterized by neuropsychiatric symptoms appearing days or weeks later.

  • 3

    A 49-year-old male patient experienced symptoms of motor aphasia and dysphagia after being assaulted with a 'Rear Naked Choke' in Mexico City.

  • 4

    MRI revealed extensive ischemic lesions, leading to a diagnosis of rapidly progressive dementia and acute and chronic HIE with gliosis.

  • 5

    The case illustrates how strangulation can cause DPHL, with symptoms evolving from acute HIE to progressive neurological decline over weeks.

Original Source(s)

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

Related Content

Editorial: Transforming neurological recovery: the promise of regenerative neurorehabilitation

Shunt surgery and lecanemab therapy in patients with idiopathic normal pressure hydrocephalus and alzheimer’s disease: a report of two cases

Smaller cingulate grey matter mediates the association between dual-task gait and incident dementia