A 24-year-old woman was strangulated by her husband using his wife's own 60-cm long artificial head hair integrations. During a domestic conflict, she was strangulated while lying in bed in a prone position. Her husband wrapped her hair around her neck and pulled it with one hand while fixing her head with the other hand. Due to the soft and broad nature of the ligature, the neck skin presented scarcely any ligature marks and showed a horizontal pale area in the middle of the neck above which the neck and face were congested; the skin showed extensive petechial haemorrhages. The autopsy revealed no internal injuries except two small haematomas in the soft tissue on each side of the neck. These were located under the pale area of the skin. The larynx and hyoid bone were intact. No natural disease was found. The toxicological analyses showed negative results. This is the first report of a homicidal strangulation by means of the victim's own artificial hair extensions.
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