Article Text

Rare disease
Fugue associated with migraine
  1. G Porter1,
  2. T Shaw2,
  3. C J Ryan3
  1. 1
    Department of Psychiatry, Westmead Hospital, Sydney, New South Wales, Australia
  2. 2
    University of Sydney and Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
  3. 3
    University of Sydney and Westmead Hospital, Sydney, New South Wales, Australia
  1. gporter222{at}


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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  • Competing interests: None.