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Fatal Recurrence of Neuroleptic Malignant Syndrome

  • Anthony McCarthy (a1), Stephen Bourke (a2), J. Fahy (a3), Irene Binchy (a4) and M. X. Fitzgerald (a2)...

Abstract

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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St Vincent's Hospital, Elm Park, Dublin 4

References

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Abbot, R. J. & Loizou, L. A. (1986) Neuroleptic malignant syndrome. British Journal of Psychiatry, 148, 4751.
Caroff, S. N. (1980) The neuroleptic malignant syndrome. Journal of Clinical Psychiatry, 41, 7983.
Gibb, W. R. G. & Lees, A. J. (1985) The neuroleptic malignant syndrome – a review. A Quarterly Journal of Medicine, 56, 421429.
Levenson, J. L. (1985) Neuroleptic malignant syndrome. American Journal of Psychiatry, 142, 11371145.
Mueller, P. S., Vester, J. W. & Fermaglich, J. (1983) Neuroleptic malignant syndrome; successful treatment with bromocryptine. Journal of the American Medical Association, 249, 396–388.

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Fatal Recurrence of Neuroleptic Malignant Syndrome

  • Anthony McCarthy (a1), Stephen Bourke (a2), J. Fahy (a3), Irene Binchy (a4) and M. X. Fitzgerald (a2)...
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