title: Coma vigil masquerading as psychiatric illness.
abstract: A patient is described who had the hyperpathic variety of akinetic mutism (coma vigil), which was mistaken for a dissociative state. The case discussion emphasizes the importance of differentiating neuropsychiatric syndromes from those which are purely psychiatric in nature in order that appropriate treatment may be given.
mesh_terms: D000328:Adult; D000405:Akinetic Mutism / Q000139:chemically induced / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004213:Dissociative Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D004091:Hydromorphone / Q000009:adverse effects; D009292:Narcotic Antagonists / Q000627:therapeutic use
chemical_list: D009292:Narcotic Antagonists; D004091:Hydromorphone