Œdipisme bilatéral non concomitant : à propos d’un cas

Facial self-mutilation: an analysis of published cases

“…In view of our limited findings, and of previously published data, it seems reasonable to suggest that patients with psychotic disorders who are determined to injure themselves severely for delusional reasons need to be restrained to prevent loss of function/structure, particularly visual 9 135 151. Also in the specific context of auto-enucleation it must not be forgotten that non-concomitant bilateral enucleation has been reported 69 71 90 126. Hence, the importance of early and vigorous inpatient treatment 134.…”

“…In such cases, immediate life-support measures should be undertaken. If neurological anomalies exist, especially in a context of auto-enucleation, central nervous system imaging should be performed 126. The need to undertake a surgical procedure to preserve the mutilated structure(s) as well as the inpatient versus outpatient management must be considered also during the initial assessment.…”

The Vision of Blindness—Sight Versus Insight: A Case Report and Literature Review of Self-enucleation (Oedipism)

“…In Greek mythology, the eye is considered as a symbol of protection against evil and is offered to the gods as a cleansing sacrifice. 12 It is also notable that the patient was not religious before this episode. Many reported cases of ocular self-injury come from predominantly Christian countries and implicate biblical verses as a precipitant to enucleation.…”

“…Important clinical considerations include identification of various etiologies leading to self-enucleation, increasing awareness of possible complications, and provision of appropriate care for such individuals. 4,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] Here, we present a case of bilateral autoenucleation in the context of a first episode of psychosis in a young male patient, who was subsequently diagnosed with schizophrenia according to the criteria in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 26 Information concerning the patient is adequately deidentified and the patient's consent was obtained for this case report.…”

“…Although oedipism is uncommon, the severity of its consequences requires proper medical management and that clinicians understand and be aware of the psychiatric presentation. Important clinical considerations include identification of various etiologies leading to self-enucleation, increasing awareness of possible complications, and provision of appropriate care for such individuals 4,8–25…”