Not manual strangulation: a lead had been drawn sharply round the neck in each case.

There were bruises to her throat consistent with manual strangulation.

There has to be significant pressure there, some sort of blunt force or manual strangulation.

"I found possible, and I stress possible, signs of manual strangulation."

The cause of death was ruled manual strangulation.

"M.E. will want to look at her more closely but it looks like the cause of death was manual strangulation."

The cord couldn't have damaged it, but manual strangulation would.

Further investigation revealed the cause of death was "manual strangulation", and that the investigation would be handled as a murder.

"We got a manual strangulation, Upper East Side," he told her.

Sally Jupp is found to have died of manual strangulation by a right-handed person.