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

Joud, Hadi; Noureldine, Mohammad Hassan A.; Peto, Ivo; Kumar, Jay I.; Bajric, Jasmina; Agazzi, Siviero

doi:10.4103/ajns.ajns_183_20

Cited by 3 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our review of the literature included 54 articles and 75 patients who self-enucleated at least one eye. 1,3–55 The features of these patients are described in Table 1. The patients had an average age of 37 years (±14 SD) and were 50.7% male.…”

Section: Resultsmentioning

confidence: 99%

Fatal Oedipism: A Case Report and Literature Review

Gupta,

Houchens,

Khair

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Purpose: To describe a unique case of a fatal self-enucleation and review previously published cases. Methods: The authors describe a unique case of a complete unilateral self-enucleation while under the influence of drugs, which resulted in severe intracranial hemorrhages, right internal carotid artery opacification, and death. A literature review was performed by searching articles published before January 2023 in the Pubmed/MEDLINE database using the keywords “auto-enucleation or self-enucleation.” Cases of self-inflicted damage to the globe without severing any connections were excluded. Results: A literature review identified a total of 54 articles and 75 patients who had self-enucleated at least one globe completely (84.0%). Their average age was 37 years and 50.7% were male. At the time of auto-enucleation, 64.0% of these patients had known psychiatric disorders, and 28.0% were found to be under the influence of illicit drugs or alcohol. Auto-enucleation resulted in intracranial complications in 26.7% of cases. There has been 1 prior case, which, like the authors’ case, resulted in death due to intracranial complications. However, this occurred in a patient who partially enucleated one eye after a self-inflicted injury to the fellow eye. The current case is unique as these complications resulted from a complete unilateral auto-enucleation. Conclusions: The severity of this case’s presentation and outcome highlights the importance of prompt neuroimaging and a thorough assessment. Prompt psychiatric assessment and treatment are also required.

show abstract

Section: Resultsmentioning

confidence: 99%

Fatal Oedipism: A Case Report and Literature Review

Gupta,

Houchens,

Khair

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

“…While not all traumatic enucleations result in significant associated pathology, the spectral severity of that pathology when present is remarkably broad, spanning a small SAH and IVH requiring no further intervention, as in our patient, to diffuse SAH with vasospastic stroke, 2 to severe SAH with dissection down the ICA causing hemispheric ischemia, as reported in a single previous case. 3 While these cases have previously been confined to the neurosurgical, ophthalmologic, and psychiatric literature, we believe that awareness must also be raised among trauma surgeons and those who take trauma surgery calls as their practice is often best equipped to promote the integration of multiple teams and the management of the multiple types of critical pathology that can be present. Specifically, any patient with complete enucleation and avulsion of the optic nerve warrants workup with at least a CT of the head to evaluate for ICH, and preferably a CTA of the head and neck to evaluate for possible dissection down the ophthalmic artery and into the ICA.…”

mentioning

confidence: 99%

Traumatic Bilateral Self-Enucleation With Subarachnoid Hemorrhage

Flippin

Truong

Kishawi

et al. 2021

The American Surgeon™

View full text Add to dashboard Cite

We present a rare case of traumatic self-enucleation of the bilateral globes resulting in traumatic subarachnoid and intraventricular hemorrhages. This case highlights the critical importance of multidisciplinary trauma care, starting with recognition of the potential for less obvious injuries such as contralateral optic nerve injury in unilateral enucleation, intracranial hemorrhage, and cerebrovascular injuries. We highlight the role of a thorough trauma assessment and workup, especially in the context of highly distracting injuries in patients who may also have severe mental illness. The trauma and acute care surgeon, who also serves as the critical care specialist, should be well prepared to facilitate care between multiple subspecialists including neurosurgeons, interventional radiologists, vascular surgeons, and psychiatrists, with a high index of suspicion for occult trauma in seemingly isolated injuries.

show abstract

Out of the box - Traumatic autoenucleation

Tanwar

Kumar

2022

Indian Journal of Ophthalmology - Case Reports

View full text Add to dashboard Cite

A 53-year-old gentleman, presented with an alleged history of seizures at home during which he suffered trauma to his left eye leading to prolapse of the globe. This globe luxation was associated with lid lacerations and active bleeding from the orbit. The lacerations were repaired, the globe was enucleated, and eventually, a prosthesis was fit for cosmesis. Autoenucleation usually occurs in patients with psychiatric illness or drug abuse and rarely in cases of accidental trauma. We present this case report to highlight the clinical presentation of such a trauma with complications, which might be overlooked while treating such patients.

show abstract

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

Cited by 3 publications

References 28 publications

Fatal Oedipism: A Case Report and Literature Review

Fatal Oedipism: A Case Report and Literature Review

Traumatic Bilateral Self-Enucleation With Subarachnoid Hemorrhage

Out of the box - Traumatic autoenucleation

Contact Info

Product

Resources

About