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Colegio de Medicina Interna de México.
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2025, Number 04

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Med Int Mex 2025; 41 (04)

Premortem well-being syndrome or terminal lucidity. Description, epidemiology, and possible pathophysiology of the phenomenon

García RJ, Rodríguez MVI, Escoto LJJ
Full text How to cite this article

Language: Spanish
References: 11
Page: 250-254
PDF size: 201.17 Kb.


Key words:

Lucidity, Patients, Mexico.

ABSTRACT

Some patients, in the final stage of their life, suffer from mental state alterations that prevent them from adequately interacting with the environment. However, moments before their death (hours or days) they have a neurological improvement with no obvious explanation. In several hospitals in Mexico, this phenomenon is known among doctors as premortem well-being syndrome. Although there are no articles in scientific search engines in Spanish that refer to it as such, the phenomenon has been studied in world literature as terminal lucidity. This paper aims to define, comment on the reported cases and analyze the possible physiopathogenesis of this phenomenon.


REFERENCES

  1. Nahm M, Greyson B. Terminal lucidity in patients withchronic schizophrenia and dementia: a survey of the literature.J Nerv Ment Dis 2009; 197: 942-944. https://doi.org.10.1097/NMD.0b013e3181c22583

  2. Macleod AD. Lightening up before death. Pall SuppCare 2009; 7 (4): 513-516. https://doi.org/10.1017/s1478951509990526

  3. Nahm M, Greyson B, Williams E, Haraldsson E. Terminal lucidity:A review and a case collection. Arch Gerontol Geriatr2012; 55 (1): 138-142. doi:10.1016/j.archger.2011.06.031.

  4. Brayne S, Lovelace H, Fenwick P. End-of-life experiencesand the dying process in a Gloustershire nursinghome as reported by nurses and care assistants.Am J Hosp Palliat Care 2008; 25: 195-206. https://doi.org.10.1177/1049909108315302

  5. Fenwick P, Lovelace H, Brayne S. Comfort for the dying:five year retrospective and one year prospective studiesof end of life experiences. Arch Gerontol Geriatr 2010; 51:173-179. https://doi.org.10.1016/j.archger.2009.10.004

  6. Dosa DM. A day in the life of Oscar the cat. N Engl JMed 2007; 357 (4): 328-9. https://doi.org.10.1056/nejmp078108

  7. Lawler PG, Gagnon B, Manchini IL, et al. Occurrence,causes, and outcome in patients with advanced cancer.Arch Intern Med 2000; 160: 786-794. https://doi.org.10.1001/archinte.160.6.786

  8. Macleod AD. Delirium: The clinical concept. Palliat SupportCare 2006; 4: 305-312. https://doi.org.10.1017/s147895150606038x

  9. Spasovski G, Vanholder R, Allolio B, Annane D, et al. Clinicalpractice guideline on diagnosis and treatment of hyponatraemia.Nephrol Dialysis Transplant 2014; 29 (suppl_2):i1-39. https://doi.org.10.1093/ndt/gfu040

  10. Zieschang T, Wolf M, Vellappallil T, Uhlmann L, et al. TheAssociation of Hyponatremia, risk of confusional state,and mortality. Deutsches Ärzteblatt Int 2016. https://doi.org.10.3238/arztebl.2016.0855

  11. Chawla LS, Akst S, Junker C, Jacobs B, Seneff MD. Surgesof electroencephalographic activity at the time of death:a case series. J Palliat Med 2009; 12: 1095-1100. https://doi.org.10.1089/jpm.2009.0159




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Med Int Mex. 2025;41