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Neuroleptic Malignant Syndrome - A Cautionary Tale and a Surprising Outcome

Published online by Cambridge University Press:  02 January 2018

Gavin Cape*
Affiliation:
Mapperley Hospital, Porchester Road, Nottingham NG3 6AA

Abstract

Vigilance is required in order to detect the cardinal signs of neuroleptic malignant syndrome (NMS), especially after prolonged exposure to neuroleptics. In this case, NMS was diagnosed in a 29-year-old man, who had been on fluphenazine decanoate for over one year, coinciding with a cessation of his neuroleptic medication. Vigorous treatment, including assisted ventilation, was necessary, extending over three months. On recovery, his mental state and social functioning had undergone a sustained improvement sufficient for his release from hospital.

Type
Brief Reports
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Adityanjee (1991) The myth of the elevated serum creatine phosphokinase and neuroleptic malignant syndrome. British Journal of Psychiatry, 158, 706707.Google Scholar
Kellam, A. (1990) The (frequently) neuroleptic (potentially) malignant syndrome. British Journal of Psychiatry, 157, 169173.CrossRefGoogle Scholar
Roberts, G. & Owen, J. (1988) The near death experience. British Journal of Psychiatry, 153, 607617.Google Scholar
Shalev, A. & Munitz, H. (1986) The neuroleptic malignant syndrome: agent and host interaction. Acta Psychiatrica Scandinavica, 73, 337347.CrossRefGoogle ScholarPubMed
Sullivan, C. (1987) A possible variant of the neuroleptic malignant syndrome. British Journal of Psychiatry, 151, 689690.CrossRefGoogle ScholarPubMed
Szabadi, E. (1984) Neuroleptic malignant syndrome (editorial). British Medical Journal, 288, 13991400.CrossRefGoogle Scholar
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