SELF-MUTILATION IN CHRONIC ENCEPHALITIS. Avulsion of Both Eyeballs and Extraction of Teeth

Goodhart, Sandor; Savitsky, Nathan

doi:10.1097/00000441-193305000-00008

Cited by 32 publications

(3 citation statements)

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“…SIB have also been described in many medical conditions such as epilepsy[50] encephalitis,[51] diabetes,[52] hypothyroidism[35] and eating disorders[532627] and prison population. [5455] Case number 31 described in the present series had SIB during an attack of epilepsy.…”

Section: Discussionmentioning

confidence: 99%

Self-injurious behavior: A clinical appraisal

Rao

Sudarshan

Begum

2008

Indian J Psychiatry

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A case series of self-injurious behavior (SIB) encountered in a General Hospital setting has been described. Limitations of current definition of SIB are explained. SIB is not a single clinical entity and it occurs in various psychiatric syndromes with wide range of psychopathology. Based on clinical criteria, a classification of SIB into three groups has been proposed viz 1) Mild and isolated form, 2) Moderately severe and repetitive form, and 3) Very severe and isolated form. Psychodynamic, cognitive and neurochemical explanations of SIB have been reviewed. Frustration, aggression and impulsivity appearing in helpless situation appear to be a common script across most of these models of explanations. Severity of injury seems to be determined by severity of psychopathology. Site of injury appear to have symbolic significance for a particular patient. Understanding some of these clinicopsychopathological issues helps in management of these cases.

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Section: Discussionmentioning

confidence: 99%

Self-injurious behavior: A clinical appraisal

Rao

Sudarshan

Begum

2008

Indian J Psychiatry

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“…However, the author’s attention was directed at epileptiform behavior, and he mentioned the self‐injury without comment (47). The attention of the profession was riveted by the dramatic case of a 16‐year‐old girl in New York in the 1930s, who avulsed both her eyeballs and pulled out a number of her teeth, secondary to encephalitis lethargica (48).…”

Section: New and Old Symptoms In Catatoniamentioning

confidence: 99%

Making childhood catatonia visible, separate from competing diagnoses

Shorter

2011

Acta Psychiatr Scand

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“…4; EL often affected one side of the body more than the other23). This patient was the subject of a 10‐page article by Goodhart and Savitsky24 because she removed both of her eyes and all of her teeth using only her hands, with apparently only minimal discomfort. The authors incidentally noted that EL is often characterized by rapid decay and loosening of the teeth and that this phenomenon has been associated previously with involvement of the trigeminal nerve.…”

Section: Body Posture and Walkingmentioning

confidence: 99%

Movement disorders associated with encephalitis lethargica: A video compilation

2005

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Encephalitis lethargica (EL; epidemic encephalitis; von Economo's disease) often presented with a movement disorder, and the motor consequences of postencephalitic parkinsonism (PEP) were characteristic of the chronic sequelae of this condition. PEP was similar to Parkinson's disease but was more variable and had some distinct features such as oculogyric crises. Although two previous publications have included video images of the movement disorders associated with EL and PEP, the sequences presented were typically short, showed only a few patients, and did not include the work of several neurologists who had the foresight to preserve filmed images of their patients. We describe the most complete record of EL and PEP moving images that have been preserved and make them available in edited form.

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SELF-MUTILATION IN CHRONIC ENCEPHALITIS. Avulsion of Both Eyeballs and Extraction of Teeth

Cited by 32 publications

References 0 publications

Self-injurious behavior: A clinical appraisal

Self-injurious behavior: A clinical appraisal

Making childhood catatonia visible, separate from competing diagnoses

Movement disorders associated with encephalitis lethargica: A video compilation

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