Phimosis US president James Garfield was assassinated by Charles Guiteau in 1881. Guiteau's autopsy report indicated that he had phimosis. At the time, this led to the speculation that Guiteau's murderous behavior was due to phimosis-induced insanity. Phimosis Phimosis is a condition in which the foreskin of the penis cannot be pulled back past the glans. A balloon-like swelling under the foreskin may occur with urination. In teenagers and adults, it may result in pain during an erection, but is otherwise not painful. Those affected are at greater risk of inflammation of the glans, known as balanitis, and other complications. In
Charles J. Guiteau storage by the museum. Parts of Guiteau's brain remain on display in a jar at the Mütter Museum in Philadelphia. Dr. Allan McLane Hamilton said in 1881 that he believed that Guiteau was sane when he assassinated Garfield. An autopsy of Guiteau's brain revealed that his dura mater was abnormally thick, suggesting he may have had neurosyphillis, a disease which causes mental instability; he could have contracted the disease from a prostitute. George Paulson, formerly the chair of neurology at Ohio State University, disputed the neurosyphillis diagnosis, arguing that Guiteau suffered from both schizophrenia and "grandiose narcissism". In 2014, the