Kim Tae Hu, Lee Soo Hoon, Kim Dong Hoon, Kim Seong Chun, Jin Wonyoungyong, Kim So Yeon, Shin Sang Heon, Lee Sang Bong
Department of Emergency Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
Clin Exp Emerg Med. 2017 Mar 30;4(1):56-59. doi: 10.15441/ceem.15.115. eCollection 2017 Mar.
Hanging is a common method of suicide that is being reported more frequently in many countries. Several complications including injuries to the cervical spine, neck vessels, and brain can occur after attempted suicide by hanging. There are only a few reports of brain computed tomography and magnetic resonance imaging of hanging victims. The most common abnormality was diffuse cerebral edema. A subarachnoid hemorrhage is an atypical complication by suicidal hanging. We report a case of a female patient who presented to an emergency department with altered mental status after attempting suicide by incomplete hanging. The patient was diagnosed with a non-aneurysmal and non-traumatic subarachnoid hemorrhage. This case shows that spontaneous subarachnoid hemorrhage can develop due to a sudden elevation of intracranial pressure, as occurs with hanging.
缢吊是一种常见的自杀方式，在许多国家的报道越来越多。缢吊自杀未遂后可能会出现多种并发症，包括颈椎、颈部血管和脑部损伤。关于缢吊受害者的脑部计算机断层扫描和磁共振成像的报道较少。最常见的异常是弥漫性脑水肿。蛛网膜下腔出血是缢吊自杀的一种非典型并发症。我们报告一例女性患者，她在不完全缢吊自杀未遂后出现精神状态改变，被送往急诊科。该患者被诊断为非动脉瘤性和非创伤性蛛网膜下腔出血。此病例表明，如缢吊时发生的那样，颅内压突然升高可导致自发性蛛网膜下腔出血。
