"6" . "346134" . "Bytton, Lisa Cathe" . "RIV/00216208:11150/09:00208888" . "T\u011B\u017Ek\u00E1 automutilace oka jako prvn\u00ED projev psych\u00F3zy - kazuistick\u00E9 sd\u011Blen\u00ED"@cs . "4"^^ . "3"^^ . . "Autoenukleace oka je z\u00E1va\u017En\u00E1, vz\u00E1cn\u00E1 forma sebepo\u0161kozen\u00ED v o\u010Dn\u00EDm l\u00E9ka\u0159stv\u00ED. Referujeme o 28let\u00E9m, do t\u00E9 doby psychiatricky nel\u00E9\u010Den\u00E9m pacientovi, kter\u00FD si s\u00E1m zp\u016Fsobil enukleaci lev\u00E9ho bulbu vidli\u010Dkou. Vy\u0161et\u0159en\u00EDm enukleovan\u00E9ho oka jsme zjistili, \u017Ee se jednalo o zcela intaktn\u00ED bulbus s vytr\u017Een\u00FDm zrakov\u00FDm nervem d\u00E9lky 4,5 cm, s hemorhagi\u00ED v lev\u00E9 o\u010Dnici. CT vy\u0161et\u0159en\u00ED hlavy prok\u00E1zalo orbit\u00E1ln\u00ED hematom a pneumoorbitu s absenc\u00ED lev\u00E9ho oka a zrakov\u00E9ho nervu, bez intrakrani\u00E1ln\u00EDho krv\u00E1cen\u00ED. Prim\u00E1rn\u00ED ranky na v\u00ED\u010Dk\u00E1ch a spojivce byly o\u0161et\u0159eny, zrakov\u00E9 funkce prav\u00E9ho oka z\u016Fstaly neporu\u0161en\u00E9. Pacient byl okam\u017Eit\u011B p\u0159ijat na psychiatrickou kliniku, kde byla diagnostikov\u00E1na paranoidn\u00ED schizofrenie. Upozor\u0148ujeme na nutnost rychl\u00E9 resuscitace pacienta, d\u00E1le \u00FAzkou spolupr\u00E1ci oftalmologa, psychiatra a neurochirurga ke stanoven\u00ED dal\u0161\u00EDho l\u00E9\u010Debn\u00E9ho postupu." . . "S" . . "RIV/00216208:11150/09:00208888!RIV10-MSM-11150___" . "CZ - \u010Cesk\u00E1 republika" . "11150" . "T\u011B\u017Ek\u00E1 automutilace oka jako prvn\u00ED projev psych\u00F3zy - kazuistick\u00E9 sd\u011Blen\u00ED" . "1211-9059" . . "4"^^ . "Autoenukleace oka je z\u00E1va\u017En\u00E1, vz\u00E1cn\u00E1 forma sebepo\u0161kozen\u00ED v o\u010Dn\u00EDm l\u00E9ka\u0159stv\u00ED. Referujeme o 28let\u00E9m, do t\u00E9 doby psychiatricky nel\u00E9\u010Den\u00E9m pacientovi, kter\u00FD si s\u00E1m zp\u016Fsobil enukleaci lev\u00E9ho bulbu vidli\u010Dkou. Vy\u0161et\u0159en\u00EDm enukleovan\u00E9ho oka jsme zjistili, \u017Ee se jednalo o zcela intaktn\u00ED bulbus s vytr\u017Een\u00FDm zrakov\u00FDm nervem d\u00E9lky 4,5 cm, s hemorhagi\u00ED v lev\u00E9 o\u010Dnici. CT vy\u0161et\u0159en\u00ED hlavy prok\u00E1zalo orbit\u00E1ln\u00ED hematom a pneumoorbitu s absenc\u00ED lev\u00E9ho oka a zrakov\u00E9ho nervu, bez intrakrani\u00E1ln\u00EDho krv\u00E1cen\u00ED. Prim\u00E1rn\u00ED ranky na v\u00ED\u010Dk\u00E1ch a spojivce byly o\u0161et\u0159eny, zrakov\u00E9 funkce prav\u00E9ho oka z\u016Fstaly neporu\u0161en\u00E9. Pacient byl okam\u017Eit\u011B p\u0159ijat na psychiatrickou kliniku, kde byla diagnostikov\u00E1na paranoidn\u00ED schizofrenie. Upozor\u0148ujeme na nutnost rychl\u00E9 resuscitace pacienta, d\u00E1le \u00FAzkou spolupr\u00E1ci oftalmologa, psychiatra a neurochirurga ke stanoven\u00ED dal\u0161\u00EDho l\u00E9\u010Debn\u00E9ho postupu."@cs . "self-induced ocular mutilation; psychosis; oedipism"@en . . "Self enucleation is a rare form of self mutilation, occuring with paranoid delusions, as a result of drug-related toxic psychosis or in functional psychoses, especially schizophrenia. We report a case of self enucleation of a left eye in a 28 year old male. The patient had no known past psychiatric disorders, he had removed the eye by a fork. On examination, the left completely enucleated globe was intact with a 4,5 cm long avulsed optic nerve. CT scan demonstrated left orbit without the left globe and optic nerve, only haematoma and air were present. There were no intracranial complications. The right eye was intact, its visual functions were normal. The patient was admitted to the psychiatric departement and a diagnosis of paranoid schizophrenia was made. In the management of such patiens close co-operation between ophthalmologist, psychiatrist and neurosurgeon is important, as further self Indry, including suicide is common."@en . . "T\u011B\u017Ek\u00E1 automutilace oka jako prvn\u00ED projev psych\u00F3zy - kazuistick\u00E9 sd\u011Blen\u00ED"@cs . . . . . . "[A8890479369E]" . "T\u011B\u017Ek\u00E1 automutilace oka jako prvn\u00ED projev psych\u00F3zy - kazuistick\u00E9 sd\u011Blen\u00ED" . "Severe self-induced ocular mutilation as the first episode of psychosis - Case report"@en . "65" . . . "H\u016Flkov\u00E1, Michaela" . "Had\u017Ei Nikolov, Dimitar" . . . "Hejcmanov\u00E1, Dagmar" . "\u010Cesk\u00E1 a slovensk\u00E1 oftalmologie" . . "Severe self-induced ocular mutilation as the first episode of psychosis - Case report"@en .