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Complex hallucinatory state occurring postsurgery: a case report.

Authors
  • Fisher, C M
Type
Published Article
Journal
Clinical Neuropharmacology
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Aug 01, 1993
Volume
16
Issue
4
Pages
366–371
Identifiers
PMID: 8374917
Source
Medline
License
Unknown

Abstract

A patient had unpleasant complex hallucinatory activity beginning 36 h postsurgery that lasted 48 h. Closing the eyes precipitated a flood of visual imagery that immediately roused the patient and prevented sleep. The imagery was predominantly visual, but there were auditory and narrative components suggesting a relationship to dreaming. An electroencephalogram showed that the hallucinatory activity was related to a recurring sequence of drowsiness, a few vertex slow waves, a myoclonic jerk, and arousal. Morphine was a prime suspect as the causative agent. The basic disturbance probably lay in the sleep-dream system. The syndrome has not been fully defined in the past.

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