Sangha Sukhjeet, Shah Khushbu, Gajaram Ganeya, Prasad Vivek
Psychiatry, Interfaith Medical Center, Brooklyn, USA.
Psychiatry, Richmond University Medical Center, Staten Island, USA.
Cureus. 2021 Aug 28;13(8):e17515. doi: 10.7759/cureus.17515. eCollection 2021 Aug.
Major self-mutilation, defined as self-inflicted physical harm without suicidal intent, can be a catastrophic complication of schizoaffective disorder. Oedipism and self-amputation are two sequelae seen in schizoaffective patients. Oedipism is a type of self-mutilation where an individual inflicts an ocular injury to oneself, often leading to blindness. Self-amputation, another complication seen in those with schizoaffective disorder, is defined as the act of deliberately removing healthy limbs. This case report discusses a 39-year-old Ukrainian-American male with a history of schizoaffective disorder who displayed both oedipism and self-amputation behavior of varying extremities. The patient's plan of care was established once an extensive history was obtained and medical records were consolidated. This report contributes to the literature on rare cases of oedipism and self-amputation in patients diagnosed with schizoaffective disorder, depressed type.
严重自残行为，定义为无自杀意图的自我造成的身体伤害，可能是分裂情感性障碍的一种灾难性并发症。眼球自伤和自我截肢是分裂情感性障碍患者中出现的两种后遗症。眼球自伤是一种自残行为，个体对自己造成眼部损伤，常导致失明。自我截肢是分裂情感性障碍患者中出现的另一种并发症，定义为故意切除健康肢体的行为。本病例报告讨论了一名39岁的乌克兰裔美国男性，他有分裂情感性障碍病史，表现出眼球自伤和不同肢体的自我截肢行为。在获取详尽病史并整合病历后，制定了该患者的护理计划。本报告为诊断为抑郁型分裂情感性障碍患者中罕见的眼球自伤和自我截肢病例的文献做出了贡献。
