Accidental partial hanging by door curtain causing ischemic encephalopathy in a child: a rare case report

Arun Prasad, Lokesh Tiwari, Pradeep Kumar, N. Yankappa


Accidental strangulation is an uncommon injury in children, however it may lead to neurological disability or death. Various modes of injuries have been reported in such accidents. Children might get strangulated while playing if they are wrapping any cord or cloth like material around their neck. Caregivers of the children should be aware of the potential sources around and mechanisms of such injuries to avoid such accidents.


Accidental partial hanging, Door curtain, Child, Ischemic encephalopathy

Full Text:



Stevens RR, Lane GA, Milkovich SM, Stool D, Rider G, Stool SE. Prevention of accidental childhood strangulation: where is the site of obstruction? Int J Pediatr Otorhinolaryngol. 1999;49:321-2.

Nixon JW, Kemp AM, Levene S, Sibert JR. Suffocation, choking and strangulation in childhood in England and Wales: Epidemiology and prevention. Arch Dis Child.1995;72:6-10.

Kumral B, Ozdes T, Avsar A, Buyuk Y. Accidental deaths by hanging among children in Istanbul, Turkey: Retrospective analysis of medicolegal autopsies in 33 years. Am J Forensic Med Pathol. 2014;35(4):271-4.

Yamamoto K, Iwashima S, Nishio T, Shiozawa R, Kubota A. Accidental Mechanical Asphyxia from a Window-Blind Cord. Indian J Pediatr. 2018;85:1138.

McLaughlin RE, Stewart A, Makwana N. Two cases of near asphyxiation in children, using non-releasing plastic garden ties (multiple letters). Emerg Med J. 2002;19(2):184.

Windfuhr K, While D, Hunt IM, Shaw J, Appleby L, Kapur N. Suicide and accidental deaths in children and adolescents in England and Wales.2001-2010. Arch Dis Child. 2013;98:945-50.

Hackett AM, Kitsko DJ. Evaluation and management of pediatric near-hanging injury. Int J Pediatr Otorhinolaryngol. 2013;77:1899-901.

Salim A, Martin M, Sangthong B, Brown C, Rhee P, Demetriades D. Near-hanging injuries: A 10-year experience. Injury. 2006;37(5):435-9.

Gandhi R, Mazumder P, Taneja N. Near hanging: early intervention can save lives. Indian J Anaesth. 2011;55(4):388-91.

Kumar KJ, Jain M, Chavan A, Rani SS. Accidental self-strangulation in a child. J Pediatr Neurosci. 2011;6(2):164-5.

Agarwal R, Jain A, Deorari AK, Paul VK. Post-resuscitation management of asphyxiated neonates. Indian J Pediatr. 2008;75(2):175-80.

Garros D, King WJ, Brady-Fryer B, Klassen T. Strangulation with intravenous tubing: A previously undescribed adverse advent in children. Pediatrics. 2003;111(6 Pt 1):732-4.

Davies D, Lang M, Watts R. Paediatric hanging and strangulation injuries: A 10-year retrospective description of clinical factors and outcomes. Paediatr Child Health. 2011;16(10):78-81.