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 glea of the
scalp. I should judge that a very great compression was effected almost immediately, with compression
of the arteries as well as 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 haemorrhages…

EXPLANATION:

The first happening was that the hair of the victim was used for the constriction ligature, so we
assumed that the victim is a girl. The slight cyanosis on the victim’s scalp is caused by hitting the victim’s
head using a hard object. The victim was strangled using her hair and had a trauma due to the profound
shock that is caused by the minor impact to the victim’s head.

The victim died because the killer strangled her to death. Because of the ligature, the victim was not
able to move. The victim tried to remove the ligatures by force, causing her skin to abrade.