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Oedipism: Auto-enucleation in a schizophrenic patient
Mary Murphy1, Malavika Nathan1, Edward Lee2
1Departments of Neurosurgery and Neurology,Hurstwood Park Neurological Centre,Lewes Road,Haywards Heath,West Sussex,RH16 4EX.
Abstract:
We report the rare occurrence of subarachnoid haemorrhage secondary to probable auto-enucleation of the orbit (oedipism) and we document management of these co-incident pathologies in a schizophrenic patient. A 67 year old schizophrenic woman suffered a subarachnoid haemorrhage and presented with seizures following enucleation of her right eye. Initial efforts should focus on investigation and management of the subarachnoid haemorrhage. Management of Oedipism must include collaboration between psychiatrists, neurosurgeons and opthalmologists, focusing on management of the subarachnoid haemorrhage with precautions to prevent further self-injurious behaviour.
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