Autoenucleation in a 84-year-old dementia patient

Abstract

To the best of our knowledge, this is the only reported case of an elderly patient with primary dementia who performed autoenucleation. Other aspects, such as patient history, suicide attempt, manual eye extraction and chiasma lesion are similar to cases reported earlier. The identification and evaluation of intracranial bleedings and chiasmatic lesions that can be associated with autoenucleation requires a contrast-enhanced CT, especially if a long optic nerve fragment is attached to the enucleated globe.

Complications and outcomes after autoenucleation

“…Schargus et al [34] similarly reported the case of subarachnoid hemorrhage in an 84-year-old man with dementia and reactive depression. After manual extraction of his left eye, CT scan of the head showed a bleed from the chiasm diffusing into the …”

Subarachnoid hemorrhage and internal carotid artery dissection and occlusion following self-enucleation

“…Diffuse SAH in basal cisterns None Rosenthal et al (2011) [18] 46 [19] 84 Male Left Advanced dementia; reactive depression…”

Woman With Facial Trauma

“…1 Initial emergency management includes CT to rule out subarachnoid hemorrhage. 2 Antipsychotics should be considered, perhaps even in the absence of psychotic symptoms because of the near certainty of an underlying psychosis. 1 Subsequent inpatient management includes one-to-one nursing, fingerless mittens, and arm restraints; these may be the only way to prevent deluded and determined patients from causing more damage as antipsychotic medications take effect.…”