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Published 23 January 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.07.2008.0576]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Fugue associated with migraine

G Porter1, T Shaw2, C J Ryan3

1 Department of Psychiatry, Westmead Hospital, Sydney, New South Wales, Australia
2 University of Sydney and Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
3 University of Sydney and Westmead Hospital, Sydney, New South Wales, Australia

Correspondence to:
gporter222{at}yahoo.com.au

SUMMARY

Fugue states are characterised by a complete loss of memory for all personal details. Although often witnessed on stage and screen, real-life fugue states are rare. They are often psychogenic and rarely organic in origin. Here a case of fugue in a patient with migraines is reported. It is possible that cerebral vasoconstriction in this case caused the memory impairment; this is supported by cerebral hypo-perfusion demonstrated on SPECT scanning. The patient’s fugue resolved after treatment for migraine.


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