"We found out that he was under treatment for schizophrenia until six years ago. He has been suffering from seizures as well for the last two years,'' said Dr T P Lahane, the dean of the JJ Group of Hospitals.
The patient, who cannot be named because of his HIV-positive status, also suffers from diabetes, tuberculosis and has impaired kidney function.
The JJ team will determine whether his impaired mental status led to his violent spree that ended in the death of a cancer patient. "He is in the psychiatry ward, and we are carrying out diagnostic tests to determine all his health problems. We will then start his complete treatment," added Dr Lahane. The JJ doctors are also trying to establish if he has lesions in his brain.
It appears the attacker has been under treatment of various doctors over the last few years. He was in a private hospital in Byculla, but left 10 days ago because his "headaches refused to cease".
"He was treated for brain tuberculosis last year, but didn't follow up until a few days back," said Dr Sagar Sakhle, Bombay Hospital spokesperson. This time around, he was admitted under neurologist Dr Nirmal Surya. The hospital did not seem to be aware of his mental illness.
"We were still in the process of investigating his various illnesses," said Dr Surya. On Sunday morning, he underwent a procedure to collect cerebrospinal fluid for further investigations. "He was most cooperative with our technicians at that time," he added.
After the early morning mayhem on Monday, the doctors learnt that the attacker's 'headaches' were so severe he would bang his head against the bedstead. Dr Surya said it's possible his HIV condition was so advanced that he had developed HIV encephalopathy, a bunch of neurological disorders. Medical textbooks say that HIV encephalopathy begins with intellectual decline and forgetfulness and degenerates into progressive decline in memory, and psychosis.
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