Cause of death in throttling is

Throttling/ Manual strangulation - compression of neck by human hands Mechanism of death - occlusion of carotids as the carotid aeries lie over the transverse processes of C4 - C6 Cervical veebra and any antero-lateral impact can compress them against the underlying bone Occlusion of airways plays a minor role and pure asphyxia is rare; considerable pressure is necessary to obstruct trachea which will also block jugular veins and carotid aeries