A case of attempted bilateral self-enucleation in a patient with bipolar disorder
| Autor: | Robert G. Bota, Jeremiah P. Tao, John Alvarez, Marc Yonkers, Hannah Muniz Castro |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty genetic structures lcsh:RC435-571 Enucleation lcsh:Medicine Case Report Neurosyphilis 03 medical and health sciences 0302 clinical medicine self-enucleation lcsh:Psychiatry medicine hyperreligiosity Bipolar disorder Psychiatry Depression (differential diagnoses) bipolar disorder Intraocular hemorrhage bipolar disorder hyperreligiosity lcsh:R medicine.disease Substance-induced psychosis eye diseases 030227 psychiatry Psychiatry and Mental health Schizophrenia 030221 ophthalmology & optometry sense organs Presentation (obstetrics) Psychology |
| Zdroj: | Mental Illness Mental Illness, Vol 9, Iss 1 (2017) |
| ISSN: | 2036-7465 |
| DOI: | 10.1108/mi.2017.7141 |
| Popis: | Attempted and completed self-enucleation, or removal of one’s own eyes, is a rare but devastating form of self-mutilation behavior. It is often associated with psychiatric disorders, particularly schizophrenia, substance induced psychosis, and bipolar disorder. We report a case of a patient with a history of bipolar disorder who gouged his eyes bilaterally as an attempt to self-enucleate himself. On presentation, the patient was manic with both psychotic features of hyperreligous delusions and command auditory hallucinations of God telling him to take his eyes out. On presentation, the patient had no light perception vision in both eyes and his exam displayed severe proptosis, extensive conjunctival lacerations, and visibly avulsed extraocular muscles on the right side. An emergency computed tomography scan of the orbits revealed small and irregular globes, air within the orbits, and intraocular hemorrhage. He was taken to the operating room for surgical repair of his injuries. Attempted and completed self-enucleation is most commonly associated with schizophrenia and substance induced psychosis, but can also present in patients with bipolar disorder. Other less commonly associated disorders include obsessive-compulsive disorder, depression, mental retardation, neurosyphilis, Lesch-Nyhan syndrome, and structural brain lesions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|