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From the Autopsy Surgeon’s Report Death occurred from the effects of asphyxia, cerebral anemia, and shock. The victim’s hair was used for the constriction ligature. Local marks of the ligature were readily discernible: there were some abrasion and a slight ecchymosis in the skin. But, I found no obvious lesion in the blood vessels of the neck. Cyanosis of the head was very slight and there were no pronounced hemorrhages in the galea of the scalp. I should judge that very great compression was effected almost immediately, with compression of the arteries as well as of the vein, and that the superior laryngeal nerve was traumatized in the effect of throwing the victim into profound shock. The lungs revealed cyanosis, congestion, over aeration, and sub pleural petechial hemorrhages.
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