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When Victor Sharrah woke up one day in November 2020, he feared he was in some sort of “demonic world”.

When he looked at people’s faces, they appeared “demon-like”, with their ears, noses and mouths stretched back, and with deep grooves in their foreheads, cheeks and chins.

“You can’t imagine how scary it was,” the 59-year-old, from Clarksville, Tennessee, said.

What he was actually seeing were distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO.

Even more unusual in the case of Mr Sharrah was that, when he looked at a phone or computer screen, people’s faces appeared normally.

That gave scientists an interesting opportunity to put Mr Sharrah at the centre of an interesting new study – the results of which were recently published in respected medical journal, The Lancet.

For the first time, researchers were able to recreate these rare PMO distortions in the form of pictures.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

“As the patient reported no distortion when viewing facial images on a screen or on paper, we asked him to compare an in-person face to a photograph of the face taken in the same room under identical lighting conditions,” the authors said in their report.

“By alternating between observing the in-person face perceived as distorted and the photo on a computer screen-perceived as undistorted, he provided real-time feedback on the perceived differences.

“We then used image-editing software to modify each photo until it matched his in-person perception.”

What is PMO?

There are reportedly fewer than 100 published case reports of PMO, and scientists don’t fully understand what triggers it.

However, they suspect it is caused by dysfunction in the brain network that handles facial processing.

The distortions can vary from case to case, with other people reporting seeing people with droopy or off-set eyes, and others reporting seeing “witch-like” features.

Interestingly, unlike a person experiencing hallucinations due to a mental disorder, a person with PMO is aware that what they are seeing is a distortion or that something is wrong with their vision.

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According to NBC, the US partner of Sky News, researchers offered two possible triggers in the case of Mr Sharrah.

The first was that he had carbon monoxide poisoning four months before his PMO symptoms started.

The second was he had endured a significant head injury 15 years earlier while hitting his head on concrete, with MRI scans showing a lesion on the left side of his brain.

Mr Sharrah also has a history of bipolar affective disorder and post-traumatic stress disorder, according to the study.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Though PMO symptoms often resolve after a few days or weeks, they can linger for years, and Mr Sharrah said he still sees demonic faces.

‘I came close to having myself institutionalised’

He has found ways to cope with his condition, including living with a roommate and her two kids, which he said has been helpful, because he’s used to having people around, so he isn’t as spooked when he sees new faces in public.

According to NBC, he also finds that green light alleviates his symptoms, so he sometimes wears glasses with green-tinted lenses when he’s in crowds.

Mr Sharrah wants others to know they can manage the condition.

“I came so close to having myself institutionalised,” he added.

According to the study’s lead author, Antonio Mello, a PhD student who works in Dartmouth’s Social Perception Lab, many doctors aren’t aware of PMO and may misdiagnose people with mental health disorders instead.

As a result, some PMO patients have been prescribed medications for schizophrenia or psychosis, which aren’t appropriate for their condition, he added.

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Boy, 8, and girl, 10, killed in US Catholic school shooting named – as father brands attacker ‘a coward’

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Boy, 8, and girl, 10, killed in US Catholic school shooting named - as father brands attacker 'a coward'

The families of two children killed in the US Catholic school shooting have said their “hearts are broken” and branded the attacker a “coward”.

Fletcher Merkel who was eight and 10-year-old Harper Moyski were killed during mass at Annunciation Catholic School in Minneapolis on Wednesday.

Eighteen other people were injured, including children aged between six and 15 and three adults in their 80s.

Police said Robin Westman, a male born as Robert Westman, opened fire with a rifle through the windows of the school’s church as children sat in pews.

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New details released of US school shooting

‘Our hearts are broken’

Harper’s parents, Michael Moyski and Jackie Flavin, remembered her as “a bright, joyful, and deeply loved 10-year-old whose laughter, kindness, and spirit touched everyone who knew her”.

“Our hearts are broken not only as parents, but also for Harper’s sister, who adored her big sister and is grieving an unimaginable loss. As a family, we are shattered, and words cannot capture the depth of our pain,” their statement said.

They urged leaders and communities to “take meaningful steps to address gun violence and the mental health crisis in this country.”

“Change is possible, and it is necessary – so that Harper’s story does not become yet another in a long line of tragedies,” the statement added.

The family of Fletcher Merkel said there was a 'hole in our hearts'. Pic: Family handout/AP
Image:
The family of Fletcher Merkel said there was a ‘hole in our hearts’. Pic: Family handout/AP

‘Fletcher loved his family’

In a statement reported by Sky’s US partner network NBC News, Fletcher’s father Jesse Merkel blamed the “coward” killer for why the boy’s family can’t “hold him, talk to him, play with him, and watch him grow into the wonderful young man he was on the path to becoming”.

He said: “Fletcher loved his family, friends, fishing, cooking, and any sports that he was allowed to play.

“While the hole in our hearts and lives will never be filled, I hope that in time, our family can find healing.”

Mr Merkel also praised “the swift and heroic actions of children and adults alike from inside the church”.

“Without these people and their selfless actions, this could have been a tragedy of many magnitudes more. For these people, I am thankful,” he added.

Families and loved ones reunite at the scene after the shooting. Pic: Reuters
Image:
Families and loved ones reunite at the scene after the shooting. Pic: Reuters

Mayor calls for assault weapon ban

It comes after Minneapolis mayor Jacob Frey called for a statewide and federal ban on assault weapons, a day after the deadly school shooting.

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Minneapolis mayor urges assault weapons ban

“Thoughts and prayers are not going to cut it. It’s on all of us to see this through,” the mayor said at a news conference. “We need a statewide and a federal ban on assault weapons.

“We need a statewide and a federal ban on high-capacity magazines. There is no reason that someone should be able to reel off 30 shots before they even have to reload.

“We’re not talking about your father’s hunting rifle gear. We’re talking about guns that are built to pierce armour and kill people.”

Meanwhile, Minneapolis police chief Brian O’Hara gave an update on the investigation, saying the suspect had fired 116 rifle rounds into the church.

“It is very clear that this shooter had the intention to terrorise those innocent children,” he added, before saying the killer “fantasised” about the plans of other mass shooting attackers and wanted to “obtain notoriety”.

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Thomas Klemond, interim CEO of Minneapolis’s main trauma hospital Hennepin Healthcare, said at an earlier news conference that the hospital was treating nine patients injured in the shooting.

One child at the hospital was in a critical condition, he added.

Children’s Minnesota Hospital also said that three children remain in its care as of Thursday morning.

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New details released about killer in Catholic school shooting in US

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New details released about killer in Catholic school shooting in US

Police have released new details about the killer in the US Catholic school shooting – including that they “idolised” mass murderers and they wanted to “watch children suffer”.

Two children, aged eight and 10, were killed during mass at Annunciation Catholic School in Minneapolis on Wednesday.

The victims have been named as Fletcher Merkel, 8, and Harper Moyski, 10, – click here to read more

Eighteen other people were injured, including children aged between six and 15 and three adults in their 80s.

Police said Robin Westman, a male born as Robert Westman, opened fire with a rifle through the windows of the school’s church as children sat in pews.

Robin Westman
Image:
Robin Westman

Almost 120 rifle rounds fired, police chief says

In a news conference on Thursday, Minneapolis Police Chief Brian O’Hara said the attacker fired 116 rifle rounds into the church.

“It is very clear that this shooter had the intention to terrorise those innocent children,” he added.

The police chief said the killer “fantasised” about the plans of other mass shooting attackers and wanted to “obtain notoriety”.

When asked about the attacker obtaining the firearms used legally, Mr O’Hara said that they did not have a criminal history or any diagnosed mental health disorders.

While they had potentially concerning social media posts, the police chief added that there was no evidence to suggest that Westman was legally barred from purchasing a firearm.

People mourn outside the Annunciation Catholic School in Minneapolis. Pic: Reuters
Image:
People mourn outside the Annunciation Catholic School in Minneapolis. Pic: Reuters

Suspect ‘wanted to watch children suffer’

Joe Thompson, acting US attorney for Minnesota, also said evidence recovered of the killer’s plans showed “pure indiscriminate hate” and that they “idolised some of the most notorious school shooters and mass murderers in our country’s history”.

“I won’t dignify the shooter’s words by repeating them,” Mr Thompson added. “They are horrific and vile, but in short, the shooter wanted to watch children suffer.”

Earlier, the mayor of Minneapolis called for a statewide and federal ban on assault weapons after the deadly attack, saying “thoughts and prayers are not going to cut it”.

“There is no reason that someone should be able to reel off 30 shots before they even have to reload,” Jacob Frey said.

“We’re not talking about your father’s hunting rifle gear. We’re talking about guns that are built to pierce armour and kill people.”

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Minneapolis mayor urges assault weapons ban

Thomas Klemond, interim CEO of Minneapolis’s main trauma hospital Hennepin Healthcare, said at a news conference that the hospital was treating nine patients injured in the shooting.

One child at the hospital was in a critical condition, he added.

Children’s Minnesota Hospital also said that three children remain in its care as of Thursday morning.

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In a post on Facebook, the hospital said “there are no words to describe the overwhelming pain many are feeling”, adding: “We feel that pain with you.

“To the entire Annunciation community, you have our deepest condolences. During this time of unimaginable grief and loss, we want you to know that we at Children’s Minnesota are with you.

“We will always be here to care for you. And in this moment, we hurt alongside you.”

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Boy, 8, killed in US Catholic school shooting named – as victim’s father brands attacker ‘a coward’

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Boy, 8, killed in US Catholic school shooting named - as victim's father brands attacker 'a coward'

An eight-year-old boy killed in the US Catholic school shooting has been named – as his father branded the attacker a “coward”.

Fletcher Merkel was one of two children killed during mass at Annunciation Catholic School in Minneapolis on Wednesday.

Eighteen other people were injured, including children aged between six and 15 and three adults in their 80s.

Police said Robin Westman, a male born as Robert Westman, opened fire with a rifle through the windows of the school’s church as children sat in pews.

Please use Chrome browser for a more accessible video player

New details released of US school shooting

Dad says ‘Fletcher loved his family’

In a statement reported by Sky’s US partner network NBC News, Fletcher’s father Jesse Merkel blamed the “coward” killer for why the boy’s family can’t “hold him, talk to him, play with him, and watch him grow into the wonderful young man he was on the path to becoming”.

He added: “Fletcher loved his family, friends, fishing, cooking, and any sports that he was allowed to play.

“While the hole in our hearts and lives will never be filled, I hope that in time, our family can find healing.”

Mr Merkel said he prayed the family of the 10-year-old victim – who has not been identified – would also find peace.

“I’ve heard many stories accounting the swift and heroic actions of children and adults alike from inside the church,” he added.

“Without these people and their selfless actions, this could have been a tragedy of many magnitudes more. For these people, I am thankful.”

Families and loved ones reunite at the scene after the shooting. Pic: Reuters
Image:
Families and loved ones reunite at the scene after the shooting. Pic: Reuters

Mayor calls for assault weapon ban

It comes after Minneapolis mayor Jacob Frey called for a statewide and federal ban on assault weapons, a day after the deadly school shooting.

Please use Chrome browser for a more accessible video player

Minneapolis mayor urges assault weapons ban

“Thoughts and prayers are not going to cut it. It’s on all of us to see this through,” the mayor said at a news conference. “We need a statewide and a federal ban on assault weapons.

“We need a statewide and a federal ban on high-capacity magazines. There is no reason that someone should be able to reel off 30 shots before they even have to reload.

“We’re not talking about your father’s hunting rifle gear. We’re talking about guns that are built to pierce armour and kill people.”

Meanwhile, Minneapolis police chief Brian O’Hara gave an update on the investigation, saying the suspect had fired 116 rifle rounds into the church.

“It is very clear that this shooter had the intention to terrorise those innocent children,” he added, before saying the killer “fantasised” about the plans of other mass shooting attackers and wanted to “obtain notoriety”.

Read more from Sky News:
Man ‘who impersonated Michael Jackson’ was ‘unfairly dismissed’
Concern as British couple detained in Iran ‘whisked’ to courtroom

Follow The World
Follow The World

Listen to The World with Richard Engel and Yalda Hakim every Wednesday

Tap to follow

Thomas Klemond, interim CEO of Minneapolis’s main trauma hospital Hennepin Healthcare, said at an earlier news conference that the hospital was treating nine patients injured in the shooting.

One child at the hospital was in a critical condition, he added.

Children’s Minnesota Hospital also said that three children remain in its care as of Thursday morning.

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