Rare presentation of intrathecal morphine withdrawal psychosis. uri icon

Overview

abstract

  • We report a case of a 57-year-old male patient with intrathecal morphine pump failure who presented with psychosis as part of a clinical presentation of opioid withdrawal. The patient was being treated for chronic back pain with an intrathecal morphine pump for several years. The patient spontaneously started to experience psychotic symptoms which included disorganized thinking, delusional thoughts, paranoia, auditory and visual hallucinations. Upon interrogation of intrathecal pump, it was found not to be functioning, thereby not delivering intrathecal morphine. After opioid rotation with administration of oral oxycodone, the patient's psychosis improved dramatically within a few days, clinically confirming psychosis due to morphine withdrawal. Therefore, it is important for physicians to consider opioid withdrawal in patients experiencing isolated psychosis.

publication date

  • February 28, 2017

Research

keywords

  • Analgesics, Opioid
  • Delusions
  • Hallucinations
  • Morphine
  • Psychoses, Substance-Induced
  • Substance Withdrawal Syndrome

Identity

Scopus Document Identifier

  • 85061424738

Digital Object Identifier (DOI)

  • 10.2217/pmt-2016-0058

PubMed ID

  • 28326948

Additional Document Info

volume

  • 7

issue

  • 3