when you have a whole essay due tomorrow and have to stay up all night to finish it suffering and withering away in pain and felling like your actually going to die, like seriously.

A phrase to describe someone who is cognitively degenerating. Synonym of "going off the deep end". Can have varying degrees of severity.

Reference to the song "Hey You" by Pink Floyd. The line "and the worms ate into his brain" makes no sense in an otherwise linear and literal narration throughout the lyrics.