Organic dissociative syndrome associated with antimigraine pharmacotherapy.

Abstract

This report describes an acute organic brain syndrome with a fugue-like state in association with antimigraine pharmacotherapy. The differential diagnosis of: 1. possible psychotoxic effects of the combination of propranolol, imipramine, and butalbital; 2. confusional migraine with amnesia; and 3. psychogenic dissociation is considered. Although organically induced dissociative states are of clinical, neuropsychological and medico-legal significance, the DSM-III and DSM-III-R have specific categories only for dissociative conditions that are strictly psychogenic in origin.

• Authors: M I Good
• Journal: Canadian journal of psychiatry. Revue canadienne de psychiatrie (Can J Psychiatry) Vol. 36 Issue 8 Pg. 597-9 (Oct 1991) ISSN: 0706-7437 [Print] United States
• PMID: 1742715 (Publication Type: Case Reports, Journal Article)

Chemical References

• Analgesics
• Barbiturates
• Drug Combinations
• Caffeine
• aspirin, butalbital and caffeine drug combination
• Phenacetin
• Imipramine
• Aspirin

Topics

• Adolescent
• Analgesics (administration & dosage, adverse effects)
• Aspirin (administration & dosage, adverse effects)
• Barbiturates (administration & dosage, adverse effects)
• Caffeine
• Dissociative Disorders (chemically induced, psychology)
• Drug Combinations
• Drug Therapy, Combination
• Female
• Humans
• Imipramine (administration & dosage, adverse effects)
• Migraine Disorders (drug therapy, psychology)
• Phenacetin (administration & dosage, adverse effects)
• Substance-Related Disorders (diagnosis, psychology)