Self-mutilation

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Self-mutilation. Lesch Nyhan syndrome, Neuroacanthocytosis, Transverse myelitis. Fully referenced neurology checklist.

Central neurological causes

  • Lesch Nyhan syndrome
  • Neuroacanthocytosis
  • Transverse myelitis
  • Neurodegeneration with brain iron accumulation (NBIA)
  • Tourette syndrome
  • Encephalopathy
  • Epilepsy
  • Stroke

Peripheral neurological causes

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Psychiatric causes

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References

  1. Ciorba I, Farcus O, Giger R, Nisa L. Facial self-mutilation: an analysis of published cases. Postgrad Med J 2014; 90:191-200.
  2. Cauwels RG, Martens LC. Self-mutilation behaviour in Lesch-Nyhan syndrome. J Oral Pathol Med 2005; 34:573-575.
  3. Lee JH, Berkowitz RJ, Choi BJ. Oral self-mutilation in the Lesch-Nyhan syndrome. ASDC J Dent Child 2002; 69:66-69, 12.
  4. Abel TJ, Dalm BD, Grossbach AJ, Jackson AW, Thomsen T, Greenlee JD. Lateralized effect of pallidal stimulation on self-mutilation in Lesch-Nyhan disease. J Neurosurg Pediatr 2014; 14:594-597.
  5. Dabrowski E, Smathers SA, Ralstrom CS, Nigro MA, Leleszi JP. Botulinum toxin as a novel treatment for self-mutilation in Lesch-Nyhan syndrome. Dev Med Child Neurol 2005; 47:636-939.
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