This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Curtis Margo, MD
Armed Forces Institute of Pathology Washington, DC 20306

Kenneth Adams, MD
F. A. Horton Hospital Middletown, NY 10940

Arch Neurol. 1982;39(9):604.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Persons with self-inflicted ocular mutilation have an unusual form of psychotic behavior¹ that, on occasion, may be associated with abnormal purine metabolism.^2,3 We recently helped care for a 29-year-old woman who sustained self-inflicted facial trauma and in whom bilateral papilledema later developed. Her clinical course suggested the presence of an intracranial mass, but the results of her neurologic evaluation were unremarkable. Pathologic examination of her self-enucleated right eye showed that the papilledema was related to meningitis of the optic nerve from apparently self-introduced intraorbital foreign material.

Report of a Case.—

A 29-year-old woman had a one-year history of compulsive self-mutilation, characterized mainly by bouts of punching herself in the face. Her behavior was not modified by major tranquilizers. She had been hospitalized twice for self-inflicted trauma, including a superficial laceration of her throat. During her last hospitalization, she sustained bilateral corneal abrasions, conjunctival lacerations, and . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?