Perimortem

Certainly, most fresh bone fractures with no healing occur perimortem; […]

The relevant type of infarct for correlation to cognitive function is chronic (months to years old) and not the acute or subacute infarcts that occur perimortem.

“Their hyoid bones are broken just like with the more recent victims. That would certainly cause death. But without skin and blood, we can’t tell for certain if it happened perimortem or postmortem.” He sighed. “My guess would be perimortem.[…]”