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The British Journal of Psychiatry 152: 558-559 (1988)
© 1988 The Royal College of Psychiatrists
A McCarthy, S Bourke, J Fahy, I Binchy and MX Fitzgerald
Cluain Mhuire Family Centre, Blackrock, Dublin.
The clinical features of a fatal case of the neuroleptic malignant syndrome are presented. The fatal episode was a recurrence of the syndrome after a milder episode 3 months earlier. Prescription of neuroleptics was continued unchanged following the latter, as a correct diagnosis was not made at the time. The case emphasises the importance of early recognition of the syndrome and the possibility of spontaneous remission of symptoms despite continued neuroleptic treatment.
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