Opioids used in patient with acute ischaemic cerebral stroke

Ewa Śliwka

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

Case reports

Published online: 2006-01-02

View PDF (Polish)

Download PDF file

Get Citation

Opioids used in patient with acute ischaemic cerebral stroke

Ewa Śliwka

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

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.