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Vol 4, No 4 (2005): Polish Palliative Medicine
Case reports
Published online: 2006-01-02
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Opioids used in patient with acute ischaemic cerebral stroke

Ewa Śliwka
Advances in Palliative Medicine 2005;4(4):162-164.

open access

Vol 4, No 4 (2005): Polish Palliative Medicine
Case reports
Published online: 2006-01-02

Abstract

The 76-years-old patient treated in neurological ward because of acute ischaemic cerebral stroke. His state was serious with respiratory and consciousness disorders, complete hemiparesis on the left side and incomplete on the right. After treatment his state was stable. Complete Weber Syndrome on the right side and incomplete on the left were recognized. Patient was excited, aggressive and disoriented. He was not able to recognize his relatives. Because of urethra injury he was transfered to urological ward. During intravenous injection of Pethidine patient suddenly regained consciousness and logical contact with surroundings lasting several hours. After that he was prescribed morphine MST Continus - one tablet per day to recognize if his neurological improvement was the result of opioid activity. 15-20 minutes after taking morphine psychical state of patient was normal for several hours. After 2-4 weeks of this therapy periods of remission were longer and after 6 weeks patient regained complete mental efficiency.

Abstract

The 76-years-old patient treated in neurological ward because of acute ischaemic cerebral stroke. His state was serious with respiratory and consciousness disorders, complete hemiparesis on the left side and incomplete on the right. After treatment his state was stable. Complete Weber Syndrome on the right side and incomplete on the left were recognized. Patient was excited, aggressive and disoriented. He was not able to recognize his relatives. Because of urethra injury he was transfered to urological ward. During intravenous injection of Pethidine patient suddenly regained consciousness and logical contact with surroundings lasting several hours. After that he was prescribed morphine MST Continus - one tablet per day to recognize if his neurological improvement was the result of opioid activity. 15-20 minutes after taking morphine psychical state of patient was normal for several hours. After 2-4 weeks of this therapy periods of remission were longer and after 6 weeks patient regained complete mental efficiency.
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Keywords

cerebral stroke; treatment; opioids

About this article
Title

Opioids used in patient with acute ischaemic cerebral stroke

Journal

Advances in Palliative Medicine

Issue

Vol 4, No 4 (2005): Polish Palliative Medicine

Pages

162-164

Published online

2006-01-02

Bibliographic record

Advances in Palliative Medicine 2005;4(4):162-164.

Keywords

cerebral stroke
treatment
opioids

Authors

Ewa Śliwka

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