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KRONİK ŞİZOFRENİ OLGUSU TARAFINDAN OLUŞTURULAN CİLT ÜLSERASYONU, KRANYAL VE DURAL DEFEKTİN CERRAHİ ONARIMI

SURGICAL REPAIR OF SELF-INFLICTED SKIN ULCERATION, CRANIALAND DURAL DEFECT CREATED BYACHRONIC SCHIZOPHRENIC PATIENT

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Stereotyped behaviour is primarily seen in patients with chronic schizophrenia. Sometimes, it may take a motoric form and may be expressed in a repetitive pattern of walking or pacing. It may also be demonstrated in repetitive strong gestures, which may or may not have a magical meaning to the patient. These behaviours may also take the form of self-mutilation. Although major self-mutilative behaviours are basically thought to occur in psychotic disorders, severe mental retardation, personality disorders, and eating disorders should also be taken into consideration. The patient presented here believed that he had a bad soul on top of his head and in order to release this soul, he scratched his head continuously leading to recurrent trauma. Then, his scalp got infected due to this trauma which resulted in osteomyelitis of the cranial bone and infection of the dura mater with the exposure of the brain tissue. This case represents one of the most severe examples of self-mutilation in the literature. The patient was treated medically for his psychiatric illness and for his wound infection according to culture- antibiogram results, and surgically with a two-step operation in order to repair the dural, cranial, and scalp defect.
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Abstract (Original Language): 
Kronik flizofrenide stereotipik hareketler s›kl›kla görülür. Zamanla bu hareketler yürüme veya izleme gibi yineleyici bir hareket biçimi olarak görülebildi¤i gibi, hasta için anlaml› veya anlams›z yineleyici davran›fllara da dönüflebilir. Bu davran›fllar kiflinin kendine zarar verici, yaralama davran›fllar›na da dönüflebilir. Major kendini yaralama davran›fl›nda temel etkenin psikotik bozukluklar oldu¤u düflünülse de, a¤›r zeka gerilikleri, kiflilik bozukluklar› ve yeme bozukluklar›n› da gözard› etmemek gerekir. Bu sunumda, bafl›nda kötü bir ruhun yerleflti¤ine inanan ve ondan kurtulmak amac›yla bafl›n› sürekli olarak kafl›yarak saçl› deride, kranyumda ve durada defekt oluflturan, defektleri 2 aflamal› operasyonla onar›lan ve kendine zarar vermenin en uç örneklerinden biri olan kronik flizofrenili bir olgu sunulmaktad›r.
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  • 2
44-48
  • English

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