Mancinelli Iginia, Pompili Maurizio, Scapati Francesco, Lazanio Simone, Kotzalidis Giorgio D, Tatarelli Roberto
Department of Psychiatric Sciences and Psychological Medicine, La Sapienza University, Via Panama 68/70, 00198 Rome, Italy.
J Forensic Sci. 2004 Mar;49(2):361-3.
Reports of self-enucleation are frequent in medical literature, but cases of enucleation towards another are rare. We report the case of a man, 20 years of age, who suffered from psychosis with hydrocephalus and aqueductal stenosis that required a forensic psychiatric investigation to ascertain whether he was of unsound mind when he assaulted and enucleated the right eye of an officer and led to the surgical enucleation of the victim's left eye. Based on his clinical interviews and hospitalization record, we conclude that at the time of the assault, he was suffering from a delusional disorder with religious and demonic content, visual and auditory hallucinations, illusion phenomena, delusional interpretations, imaginative elements, a feeling of terror, and command hallucinations that compelled him to perform the act of aggression.
自我摘除眼球的报道在医学文献中屡见不鲜，但针对他人的眼球摘除案例却较为罕见。我们报告一例20岁男性病例，该患者患有精神病伴脑积水和导水管狭窄，为此进行了法医精神病学调查，以确定他在袭击并摘除一名警官右眼并导致受害者左眼被手术摘除时是否精神不健全。根据对他的临床访谈和住院记录，我们得出结论，在袭击发生时，他患有伴有宗教和恶魔内容的妄想障碍、视幻觉和听幻觉、错觉现象、妄想性解释、想象成分、恐怖感以及命令性幻觉，这些因素迫使他实施了攻击行为。
