Joanna Yeates suffered a slow and painful death as her next-door neighbour strangled her with his bare hands, a court heard today.
Vincent Tabak was said to have used his height and build to overpower the 25-year-old's 5ft 4in frame.
She fought for her life for some time as Tabak pinned her to the floor by her wrists, Nigel Lickley QC, for the Crown, told Bristol Crown Court.
"There was a violent struggle by Miss Yeates to survive," he said.
"He might have let go but he did not. He knew that Miss Yeates was in pain but struggling to breathe."
The jury has heard that tests showed her body had 43 separate injuries.
Tabak, 33, has admitted manslaughter but denies murder.