Lima , Peru ( CNN ) -- The 21-year-old Peruvian woman Joran van der Sloot is accused of killing had a cranial fracture and other significant injuries to her face and neck and showed signs of asphyxiation , a court document obtained by CNN shows . Forensic luminol tests in the hotel room where her body was found showed blood on the floors , hallway and mattress , the document said . The body of Stephany Flores was in such a decomposed state that an autopsy was difficult to perform , the document said . The autopsy revealed Flores had used amphetamines , it said . Peruvian authorities have charged van der Sloot with murder . He also is the lead suspect in the 2005 disappearance of Alabama teenager Natalee Holloway in Aruba . Van der Sloot was arrested twice in connection with Holloway 's disappearance in Aruba but was never charged because of lack of evidence . Peruvian police said Monday they conducted a psychological evaluation of van der Sloot . The evaluation showed van der Sloot has a low tolerance for frustration and `` does n't value the female role , '' according to excerpts from the report , which prosecutors gave to a judge . According to the document , van der Sloot `` does not tolerate when someone tries to contradict him . It generates in him a challenging attitude . '' The report calls him `` emotionally immature , '' which elicits strong changes in behavior that can send him out of control . `` He reflects a certain dominance over the opposite sex . He does n't value the female role , '' the document states . It adds , `` He presents traits of an anti-social personality '' and is `` indifferent towards others ' well-being . '' Despite this , the report says , `` he does n't show any psychopathological trauma that impedes him from perceiving and evaluating reality . '' Also Monday , Van der Sloot told the judge his rights and due process were violated after his arrest , his attorney told CNN . The judge will decide on the legality of van der Sloot 's incarceration by Wednesday , lawyer Maximo Altez said . If the ruling is unfavorable to van der Sloot , Altez said , he is prepared to appeal to the highest court . While in front of the judge , van der Sloot declined to give a formal statement on the facts of the case , according to the court . The reason he gave was he hopes the statements he allegedly gave to police that led to his imprisonment will be nullified . Van der Sloot 's decision will not hold up the legal proceedings against him , the court said . A Dutch newspaper article published Monday quotes van der Sloot as saying he was `` tricked '' into confessing to the murder of Flores . Peruvian police told him that if he signed the papers they gave him , he would be transferred to the Netherlands , he told De Telegraaf in a jail interview . `` In my blind panic I signed everything , but never knew what was written on them , '' he said . Altez -- who had said last week he was quitting as van der Sloot 's attorney , but has not -- has maintained that the judge in the case should strike down van der Sloot 's confession because he was not properly represented when he was interrogated . But Peruvian police have defended the interrogation , saying that van der Sloot 's confession was acquired legally . According to transcripts of his confession , van der Sloot said he elbowed Flores in the face before strangling her and then suffocating her with his shirt . The transcripts were provided to CNN by a police source who has not been named because he was not authorized to pass along the material . `` There was blood everywhere , '' van der Sloot said in the transcripts . `` What am I going to do now . I had blood on my shirt . There was also blood on the bed , so , I took my shirt and put it on her face , pressing hard , until I killed Stephany . '' Van der Sloot told authorities he attacked Flores on May 30 after she read an e-mail on his computer connected with the Holloway case . It was five years to the day from Holloway 's disappearance . After killing Flores , police say , van der Sloot took money and bank cards from her wallet and fled to Chile , where he was arrested on June 3 . He was returned the next day to Peru . Van der Sloot told police in Chile a different story of how Flores died when he was arrested there , according to transcripts . He blamed the death on robbers who had waited for him at his hotel in Peru . But Peru authorities said they had overwhelming evidence pointing to van der Sloot , and when he was transferred to Peru , van der Sloot confessed to the crime , police said . Van der Sloot is being held in a high-security area of the Miguel Castro Castro prison where only two of 10 cells are occupied , and he has no contact with inmates in the general prison population . He is under guard 24 hours a day , authorities have said .
Stephany Flores had cranial fracture , autopsy report says . Blood found in Joran van der Sloot 's hotel room . Autopsy was difficult because Flores ' body was badly decomposed . Test reveals Flores had used amphetamines .